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Pediatrix Medical Group of Florida Inc

Pediatric Cardiology Physician in Mangonia Park, FL · enumerated 2021 · authorized official Nicholas Glaser, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902475122

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatrix Medical Group of Florida Inc
Practice address 901 45th St, Mangonia Park, FL, 33407
Fax (855) 527-5510
Enumeration date Jun 22, 2021
Last updated in NPPES Oct 22, 2024

Taxonomy & classification

2080P0202X Pediatric Cardiology Physician Allopathic & Osteopathic Physicians Primary
2080P0205X Pediatric Endocrinology Physician Allopathic & Osteopathic Physicians Secondary
208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians Secondary
2088P0231X Pediatric Urology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Nicholas Glaser
Title President

Other identifiers

Identifier Type State Issuer
060035143 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Pediatrix Medical Group of Florida Inc located?
The practice location on file with NPPES is in Mangonia Park, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-10-22. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-22.