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 1427721075

Pediatrix Medical Group of Florida Inc is a Pediatric Gastroenterology Physician in Port St Lucie, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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

10000 SW Innovation Way
Port St Lucie, FL 34987-2111
Phone: (772) 345-8100
Fax: (855) 527-5510
Show map & directions

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

Specialties & licences

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

Record details

NPI number1427721075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Glaser — President · (800) 243-3839
NPI enumeratedJuly 29, 2021
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address1301 Concord Ter, Sunrise, FL 33323-2843