Organization · Type 2 NPI

Pediatrix Medical Group of Florida Inc

Plastic and Reconstructive Surgery Physician · Tampa, FL

NPI number 1790475010 Active

Practice location

3001 W Dr Martin Luther King Jr Blvd, Main Hospital
Tampa, FL 33607-6307

Call (813) 870-4000 Map

Fax (855) 527-5510

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XNone listed
Pediatric Surgery Physician 2086S0120XNone listed
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed
Urology Physician 208800000XNone listed
Pediatric Urology Physician 2088P0231XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1790475010

Pediatrix Medical Group of Florida Inc's National Provider Identifier is 1790475010, issued on May 10, 2023. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Tampa, FL. The record was last updated on Jun 9, 2025.