Individual
MR. JEFFREY HOWARD GLATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6525 3RD ST STE 302, ROCKLEDGE, FL 32955-5749
(321) 241-1144
(321) 806-3875
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 241-1144
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2490Y
MEDICARE
FL
01
—
LN911
MEDICARE
FL
Enumeration date
09/13/2006
Last updated
06/18/2020
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