PEDIATRIX MEDICAL GROUP OF FLORIDA INC
NPI 1629645650
Pediatrics - Pediatric Cardiology in Lutz, FL

Active since June 08, 2021
4211 VAN DYKE RD, LUTZ, FL 33558(813) 443-7000(855) 527-5510 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Aug 6, 2024, Oct 30, 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 1629645650) is a healthcare organization registered as a pediatric cardiology in Lutz, Florida and active in the NPI registry since June 2021. The organization lists Nicholas E Glaser, President, as its authorized official.

NPPES Registry Identity

NPI1629645650
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePEDIATRIX MEDICAL GROUP OF FLORIDA INC
Location Address4211 VAN DYKE RDLutz, FL 33558-8005
Mailing Address1301 Concord TerSunrise, FL 33323-2843 · (800) 243-3839
Fax(855) 527-5510
Organization SubpartNo
Authorized OfficialNicholas E GlaserPresident · (800) 243-3839
Enumeration DateJune 8, 2021
Last NPPES UpdateJuly 18, 20254 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
NPI 1629645650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
4211 VAN DYKE RD, Lutz, FL 33558

Other Identifiers 1

Medicaid002741996FL

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 NPPES 20

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

Anesthesiologist Assistant
4211 VAN DYKE RD
LUTZ, FL 33558
Internal Medicine
4211 VAN DYKE RD, SUITE 200
LUTZ, FL 33558
Anesthesiologist Assistant
4211 VAN DYKE RD
LUTZ, FL 33558
Obstetrics & Gynecology
4211 VAN DYKE RD
LUTZ, FL 33558
Anesthesiologist Assistant
4211 VAN DYKE RD
LUTZ, FL 33558
Occupational Therapist
4211 VAN DYKE RD
LUTZ, FL 33558
Physician Assistant
4211 VAN DYKE RD
LUTZ, FL 33558
Internal Medicine (Cardiovascular Disease)
4211 VAN DYKE RD, SUITE 205
LUTZ, FL 33558

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 1629645650. It was assigned to this organization in the NPPES registry on June 8, 2021.

Where is Pediatrix Medical Group Of Florida Inc located?

Pediatrix Medical Group Of Florida Inc is located at 4211 Van Dyke Rd, Lutz, FL 33558. The listed phone number is (813) 443-7000.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Pediatrix Medical Group Of Florida Inc was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.