# GLOMAR MEDICAL INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Glomar Medical LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053913095
- **Authorized official:** NEIL J FREY APRN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (321) 543-9830

## Contact information

- **Practice address:** 341 ALLISON DR, PALM BAY, FL 32908-6405
- **Practice address phone:** (321) 543-9830
- **Mailing address:** 341 ALLISON DR, PALM BAY, FL 32908-6405
- **Mailing address phone:** (321) 543-9830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2020
- **Last updated:** 12/03/2020