| Name: | Pediatrix Medical Group of Florida, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 06 Jun 1980 (44 years ago) (Companies founded in June 1980) |
| Entity Number: | 000-381-428 |
| Register Number: | 000381428 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Florida |
| Principal Address: | 1301 CONCORD TERRACESUNRISE, FL 33323 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174199640 | 2021-06-03 | 2023-10-31 | 1301 CONCORD TER, SUNRISE, FL, 333232843, US | 4370 W MAIN ST, DOTHAN, AL, 363051056, US | |||||||||||||||||||||||
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| Phone | +1 800-243-3839 |
| Fax | 8555275510 |
| Phone | +1 334-793-5000 |
Authorized person
| Name | LINDA CHEN |
| Role | PRESIDENT |
| Phone | 8002433839 |
Taxonomy
| Taxonomy Code | 2080N0001X - Neonatal-Perinatal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 14449119 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
