Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatrix Medical Group of Florida Inc

Organization Pediatric Gastroenterology Physician · NPI 1316665144

Pediatrix Medical Group of Florida Inc is a Pediatric Gastroenterology Physician in Bonita Springs, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
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

24040 S Tamiami Trl
Bonita Springs, FL 34134-7040
Phone: (239) 624-1811
Fax: (855) 527-5510
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X
Pediatric Gastroenterology Physician Taxonomy 2080P0206X
Pediatric Surgery Physician Taxonomy 2086S0120X
Pediatric Urology Physician Taxonomy 2088P0231X

Record details

NPI number1316665144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Glaser — President · (800) 243-3839
NPI enumeratedAugust 18, 2022
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address1301 Concord Ter, Sunrise, FL 33323-2843