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Organization
MICHAEL GLICK, M.D. P.A.
Active
Organization
MICHAEL GLICK, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GLICK (OFFICE MANAGER)
(352) 753-5222
Entity
Organization
Contact information
Practice address
1501 N US HIGHWAY 441, SUITE 1102, THE VILLAGES, FL 32159-8999
(352) 753-5222
(352) 753-6483
Mailing address
1501 N US HIGHWAY 441, SUITE 1102, THE VILLAGES, FL 32159-8999
(352) 753-5222
(352) 753-6483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0051531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21793
BCBS FLORIDA PROVIDER ID
FL
Enumeration date
08/05/2006
Last updated
08/22/2020
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