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PEDIATRIX MEDICAL GROUP OF FLORIDA INC NPI 1093384299


NPI Information

NPI: 1093384299
Provider Name: PEDIATRIX MEDICAL GROUP OF FLORIDA, INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
800 PRUDENTIAL DR
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-2000
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PEDIATRIX MEDICAL GROUP OF FLORIDA, INC is an obstetrics gynecology in Jacksonville, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PEDIATRIX MEDICAL GROUP OF FLORIDA, INC NPI is 1093384299. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 PRUDENTIAL DR
JACKSONVILLE, FL
ZIP 32207-202
Phone: (904) 202-2000
Fax: (855) 527-5510

The provider's authorized official is Alan Oliver .
The authorized official title is President and has the following contact phone number (877) 885-0588.

The enumeration date for this NPI number is 6/22/2021 and was last updated on 6/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes
2207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002741927MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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