Glickman, Jeffrey L

Glickman, Jeffrey L is an individual health care provider with primary practice located at 500 Se Osceola St Ste 200, Stuart FL 34994-2364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Glickman, Jeffrey L can be contacted via phone (772) 286-1550.

Contact Information

Primary practice address
500 Se Osceola St Ste 200 Stuart FL 34994-2364
Fax: (772) 221-0569
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 46721 Florida

Profile Details

NPI number 1134126832
LBN Legal business name Glickman, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 19th, 2024 - about 5 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 1134126832 NPPES
Florida MEDICAID 047430400

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