Gluck, Stefan
Gluck, Stefan is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Box 016960 M851, Miami FL 33136-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Gluck, Stefan can be contacted via phone (305) 585-1111.Contact Information
Primary practice address
1611 Nw 12Th Ave Box 016960 M851
Miami FL 33136-1005
Phone: (305) 585-1111
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MFC1550 | Florida |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MFC1550 | Florida |
Profile Details
NPI number | 1417913781 |
---|---|
LBN Legal business name | Gluck, Stefan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Feb 7th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417913781 | NPPES |
Florida | MEDICAID | 2690632-00 |
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