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PEDIATRIX MEDICAL GROUP OF FLORIDA INC
NPI 1043958465
Plastic Surgery in Port St Lucie, FL

Active since May 25, 2022
1310 SE WEST STAR AVE, PORT ST LUCIE, FL 34952(772) 337-5200(772) 337-7955 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2024, Oct 31, 2023, May 26, 2022 (3 updates tracked since 2022).

About Pediatrix Medical Group Of Florida Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIX MEDICAL GROUP OF FLORIDA INC (NPI 1043958465) is a healthcare organization registered as a plastic surgery in Port St Lucie, Florida and active in the NPI registry since May 2022. The organization lists Nicholas E. Glaser, President, as its authorized official.

NPPES Registry Identity

NPI1043958465
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePEDIATRIX MEDICAL GROUP OF FLORIDA INC
Location Address1310 SE WEST STAR AVEPort St Lucie, FL 34952-7557
Mailing Address1301 Concord TerSunrise, FL 33323-2843 · (800) 243-3839 · Fax (855) 527-5510
Phone(772) 337-5200
Fax(772) 337-7955
Organization SubpartNo
Authorized OfficialNicholas E. GlaserPresident · (800) 243-3839
Enumeration DateMay 25, 2022
Last NPPES UpdateOctober 22, 20243 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1043958465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X
Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X
1310 SE WEST STAR AVE, Port St Lucie, FL 34952
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

PORT ST LUCIE SURGERY CENTER LTD
Clinic/Center (Ambulatory Surgical)
1310 SE WEST STAR AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-5200
ANESTHESIA PHYSICIAN SOLUTIONS OF SOUTH FLORIDA, LLC
Anesthesiology
1310 SE WEST STAR AVE
PORT ST LUCIE, FL 34952
St. Lucie County (877) 328-1119
MR. JOSHUA M AMSLER CRNA
Nurse Anesthetist, Certified Registered
1310 SE WEST STAR AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-5200

Frequently Asked Questions

What is PEDIATRIX MEDICAL GROUP OF FLORIDA INC's NPI number?

The NPI number assigned to this healthcare provider is 1043958465, enumerated as an "organization" on May 25, 2022.

Where is the provider located?

The provider is located at 1310 SE WEST STAR AVE PORT ST LUCIE, FL 34952 and the phone number is (772) 337-5200.

What is the provider's specialty?

Plastic Surgery with taxonomy code 208200000X.