Active NPI
Pediatrix Medical Group of Florida, Inc
- Pediatric Cardiology Physician
- Pembroke Pines, FL
National Provider Identifier
1841864204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- PEDIATRIX MEDICAL GROUP OF FLORIDA, INC
- Practice address
- 703 N Flamingo Rd
Pembroke Pines, FL 33028-1006 - Phone
- (954) 436-5000
- NPI assigned
- May 19, 2021
- Last updated
- Jul 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas E. Glaser
- Title
- President
- Phone
- (800) 243-3839
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | NU | ||
| Pediatric Cardiology Physician | 2080P0202X | NU | Primary | |
| Plastic Surgery Physician | 208200000X | NU | ||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | NU |
Addresses
Primary practice location
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002741930 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Pediatrix Medical Group of Florida Inc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Maternal & Fetal Medicine Physician
- Tampa, FL
- NPI 1811566037
-
- Pediatric Cardiology Physician
- Mangonia Park, FL
- NPI 1891528683
-
- Pediatric Cardiology Physician
- Margate, FL
- NPI 1811566078
-
- Plastic and Reconstructive Surgery Physician
- Hollywood, FL
- NPI 1811603038
-
- Maternal & Fetal Medicine Physician
- Melbourne, FL
- NPI 1821663261
-
- Pediatric Cardiology Physician
- Fort Pierce, FL
- NPI 1821664640
-
- Pediatric Surgery Physician
- Loxahatchee, FL
- NPI 1831768050
-
- Pediatric Cardiology Physician
- Brandon, FL
- NPI 1831768068
-
- Plastic Surgery Physician
- Fort Myers, FL
- NPI 1831862994
-
- Pediatric Cardiology Physician
- Port St Lucie, FL
- NPI 1831863828
-
- Pediatric Cardiology Physician
- Tampa, FL
- NPI 1871161760
-
- Neonatal-Perinatal Medicine Physician
- Miami, FL
- NPI 1871162099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752710400000",
"number": "1841864204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CONCORD TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232843",
"telephone_number": "800-243-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N FLAMINGO RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281006",
"telephone_number": "954-436-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIX MEDICAL GROUP OF FLORIDA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-19",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A",
"authorized_official_last_name": "GLASER",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-243-3839"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002741930",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
- Pediatric Pulmonary and Allergy Assoc.
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida, Inc
- Pediatrix Medical Group of Florida, Inc
- Pediatrix Medical Group of Florida, Inc
- Lisbet Pedraza Duran
- Lismary Pedraza Duran, BCBA, LMHC
- Norberto Jesus Pedroso Montesino, M.D.
- Vanessa Pamela Pedroso, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.