OrganizationActive
Pediatrix Medical Group of Florida Inc
NPI 1053980219 · Pediatric Urology Physician · Boca Raton, FL
Provider details
- NPI number
- 1053980219
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicholas Glaser, President(800) 243-3839
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9980 Central Park Blvd N Ste 302
Boca Raton, FL 33428-1704
Phone: (561) 483-0332
Fax: (855) 527-5510
Street-level locationGet directions
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.