Organization
GLOMAR MEDICAL INC.
Active
Other names
Glomar Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL J FREY APRN (CHIEF EXECUTIVE OFFICER)
(321) 543-9830
Entity
Organization
Contact information
Practice address
341 ALLISON DR, PALM BAY, FL 32908-6405
(321) 543-9830
Mailing address
341 ALLISON DR, PALM BAY, FL 32908-6405
(321) 543-9830
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
12/03/2020
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