Individual
DAVID GLICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD STE 202, HALLANDALE BEACH, FL 33009-3770
(954) 239-0578
Mailing address
2100 E HALLANDALE BEACH BLVD STE 202, HALLANDALE BEACH, FL 33009-3770
(954) 239-0578
(954) 239-0582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS1485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101052900
—
FL
Enumeration date
07/05/2006
Last updated
04/27/2019
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