Individual
LAURA ANNE GLICKSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3609
(352) 273-8610
Mailing address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS20050
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118700800
—
FL
Enumeration date
04/01/2019
Last updated
07/30/2023
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