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

Pediatrix Medical Group of Florida Inc

Organization Plastic Surgery Physician · NPI 1518672112

Pediatrix Medical Group of Florida Inc is a Plastic Surgery Physician in Fort Myers, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

8960 Colonial Center Dr
Fort Myers, FL 33905-7810
Phone: (239) 424-1439
Fax: (855) 527-5510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X
Plastic Surgery Physician Taxonomy 208200000X
Urology Physician Taxonomy 208800000X
Pediatric Urology Physician Taxonomy 2088P0231X

Record details

NPI number1518672112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Glaser — President · (800) 243-3839
NPI enumeratedJanuary 18, 2023
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address1301 Concord Ter, Sunrise, FL 33323-2843

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