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

Pediatrix Medical Group of South Carolina PA

Organization Neonatal-Perinatal Medicine Physician · NPI 1992802607

Pediatrix Medical Group of South Carolina PA is a Neonatal-Perinatal Medicine Physician in Sunrise, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1301 Concord Ter
Sunrise, FL 33323-2843
Phone: (954) 384-0175
Fax: (954) 851-1948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X

Record details

NPI number1992802607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicolas Glaser — Assistant Secretary · (954) 384-0175
NPI enumeratedSeptember 17, 2006
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address4991 Lake Brook Dr, Suite 300, Glen Allen, VA 23060-9293

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