Glazer, Jonathan K

Glazer, Jonathan K is an individual health care provider with primary practice located at 3725 11Th Cir , Vero Beach FL 32960-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Glazer, Jonathan K can be contacted via phone (772) 562-0163.

Contact Information

Primary practice address
3725 11Th Cir Vero Beach FL 32960-4804
Phone: (772) 562-0163
Fax: (772) 562-1505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 45283 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME90452 Florida

Profile Details

NPI number 1750384830
LBN Legal business name Glazer, Jonathan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jun 12th, 2024 - about 6 months 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 1750384830 NPPES
Florida Other U3695 BLUE CROSS AND BLUE SHIELD OF FLORIDA
Florida MEDICAID 270165100 BLUE CROSS AND BLUE SHIELD OF FLORIDA

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