MR. GERALD GILBERT GLASS PA NPI 1871996942

NPI Information

NPI: 1871996942
Provider Name: MR. GERALD GILBERT GLASS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2901 SW 149TH AVE
SUITE 400
MIRAMAR, FL
ZIP 33027
Phone: (954) 874-4603
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MR. Gerald Gilbert Glass, PA is a medical physician assistant in Miramar, FL. MR. Gerald Gilbert Glass, PA NPI is 1871996942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2901 SW 149TH AVE
SUITE 400
MIRAMAR, FL
ZIP 33027-151
Phone: (954) 874-4603
Fax: (954) 874-3261

The enumeration date for this NPI number is 10/3/2014 and was last updated on 10/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA3172	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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