Glaza, Thomas George

Glaza, Thomas George is an sole proprietor health care provider with primary practice located at 12497 Tamiami Trl S Suite #9, North Port FL 34287-1447. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Glaza, Thomas George can be contacted via phone (941) 429-0804.

Contact Information

Primary practice address
12497 Tamiami Trl S Suite #9 North Port FL 34287-1447
Phone: (941) 429-0804
Fax: (941) 429-0814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2188 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH5146 Florida

Profile Details

NPI number 1548247968
LBN Legal business name Glaza, Thomas George
Credentials M.A., M. ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Jul 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548247968 NPPES
Florida Other 2188 CAP CERTIFICATE
Florida Other MH5146 CAP CERTIFICATE

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