PEDIATRIX MEDICAL GROUP OF FLORIDA INC
NPI 1164195111
Pediatrics - Neonatal-Perinatal Medicine in Brooksville, FL

Active since July 27, 2021CLIA 10D2319703 · Waiver
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 596-6632(855) 527-5510 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Aug 2, 2024, Oct 31, 2023 and 1 more (4 updates tracked since 2021).

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 1164195111) is a healthcare organization registered as a neonatal-perinatal medicine in Brooksville, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Nicholas E. Glaser, President, as its authorized official.

NPPES Registry Identity

NPI1164195111
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NamePEDIATRIX MEDICAL GROUP OF FLORIDA INC
Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409
Mailing Address1301 Concord TerSunrise, FL 33323-2843 · (800) 243-3839 · Fax (855) 527-5510
Fax(855) 527-5510
Organization SubpartNo
Authorized OfficialNicholas E. GlaserPresident · (800) 243-3839
Enumeration DateJuly 27, 2021
Last NPPES UpdateJune 11, 20254 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1164195111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
11375 CORTEZ BLVD, Brooksville, FL 34613

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2319703

Pediatrix Medical Group Of Florida, Inc · Brooksville, FL
Active · expires Mar 5, 2027
CLIA Number10D2319703
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorSriram C. Perni
Laboratory Phone(352) 663-9510
Laboratory LocationPediatrix Medical Group Of Florida, Inc11371 Cortez Blvd Ste 101, Brooksville, FL 34613
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Nurse Practitioner (Family)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Anesthesiology
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
General Acute Care Hospital
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Pathology (Anatomic Pathology & Clinical Pathology)
11375 CORTEZ BLVD, OAK HILL HOSPITAL
BROOKSVILLE, FL 34613
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatrix Medical Group Of Florida Inc's NPI number?

The NPI number for Pediatrix Medical Group Of Florida Inc is 1164195111. It was assigned to this organization in the NPPES registry on July 27, 2021.

Where is Pediatrix Medical Group Of Florida Inc located?

Pediatrix Medical Group Of Florida Inc is located at 11375 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 596-6632.

What is Pediatrix Medical Group Of Florida Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Does Pediatrix Medical Group Of Florida Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2319703) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatrix Medical Group Of Florida Inc was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.