Organization
GLU 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA M GIBSON MD (MD)
(248) 885-6698
Entity
Organization
Contact information
Practice address
10531 BEXLEY BLVD, BOCA RATON, FL 33428-1210
(248) 885-6698
Mailing address
10531 BEXLEY BLVD, BOCA RATON, FL 33428-1210
(248) 885-6698
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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