Individual
DR. GLEN ANDREW WASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2701 NE 14TH STREET CSWY, SUITE 5, POMPANO BEACH, FL 33062-3535
(954) 545-1560
(954) 545-1561
Mailing address
2701 NE 14TH STREET CSWY, SUITE 5, POMPANO BEACH, FL 33062-3535
(954) 545-1560
(954) 545-1561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 8048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262021900
—
FL
Enumeration date
08/29/2006
Last updated
12/04/2012
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