Individual
DR. PAUL W GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13303 N DALE MABRY HWY, TAMPA, FL 33618-2409
(727) 938-2020
Mailing address
20124 NOB OAK AVE, TAMPA, FL 33647-3359
(813) 973-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3890
FL
Other
Enumeration date
03/20/2007
Last updated
07/18/2019
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