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NPI Profile for PEDIATRIX MEDICAL GROUP AMBULATORY SERVICES OF TN PLLC in SUNRISE, FL.
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Maternal & Fetal Medicine |
207VM0101X | 16 | Physician/Obstetrics & Gynecology | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology | |
Pediatric Cardiology |
2080P0202X | 37 | Physician/Pediatric Medicine | |
Pediatric Critical Care Medicine |
2080P0203X | 37 | Physician/Pediatric Medicine | |
Pediatric Gastroenterology |
2080P0206X | 37 | Physician/Pediatric Medicine | |
Pediatric Infectious Diseases |
2080P0208X | 37 | Physician/Pediatric Medicine | |
Pediatric Pulmonology |
2080P0214X | 37 | Physician/Pediatric Medicine | |
Pediatric Surgery |
2086S0120X | 02 | Physician/General Surgery | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine | |
Women's Health |
363LW0102X | 50 | Nurse Practitioner |
| NPI # | 1063110880 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/21/2023 | |
| Last updated | 08/05/2025 - About 10 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PEDIATRIX MEDICAL GROUP AMBULATORY SERVICES OF TN, PLLC
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PEDIATRIX MEDICAL GROUP AMBULATORY SERVICES OF TN, PLLC