Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatrix Medical Group of Florida Inc

Organization Pediatric Urology Physician · NPI 1477129088

Pediatrix Medical Group of Florida Inc provides Pediatric Urology Physician services in Miami, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1611 NW 12th Ave Ste C150
Miami, FL 33136-1005
Phone: (305) 669-6448
Fax: (855) 527-5510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1477129088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Glaser — President · (800) 243-3839
NPI enumeratedJune 3, 2021
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address1301 Concord Ter, Sunrise, FL 33323-2843

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