Gluck, Jeanette Marie

Gluck, Jeanette Marie is an individual health care provider with primary practice located at 5070 Minton Rd Nw Ste 3 , Palm Bay FL 32907-1157. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gluck, Jeanette Marie can be contacted via phone (321) 768-1600.

Contact Information

Primary practice address
5070 Minton Rd Nw Ste 3 Palm Bay FL 32907-1157
Phone: (321) 768-1600
Fax: (321) 255-2361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103559 Florida

Profile Details

NPI number 1023072170
LBN Legal business name Gluck, Jeanette Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 1st, 2020 - about 4 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 1023072170 NPPES
Florida Other Y07HY FLORIDA BLUE

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