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 1790475010

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

In the registry since
2023
Specialties on file
5
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

3001 W Dr Martin Luther King Jr Blvd Main Hospital
Tampa, FL 33607-6307
Phone: (813) 870-4000
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
Pediatric Surgery Physician Taxonomy 2086S0120X
Urology Physician Taxonomy 208800000X
Pediatric Urology Physician Taxonomy 2088P0231X

Record details

NPI number1790475010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Glaser — President · (800) 243-3839
NPI enumeratedMay 10, 2023
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address1301 Concord Ter, Sunrise, FL 33323-2843

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