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 Neurodevelopmental Disabilities Physician · NPI 1962160515

Pediatrix Medical Group of Florida Inc is a Pediatric Neurodevelopmental Disabilities Physician in Winter Park, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

1245 W Fairbanks Ave Ste 305
Winter Park, FL 32789-4878
Phone: (407) 293-1122
Fax: (407) 253-2170
Show map & directions

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

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1962160515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Glaser — President · (800) 243-3839
NPI enumeratedDecember 1, 2021
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address1301 Concord Ter, Sunrise, FL 33323-2843

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