Organization
EDWARD GLAVEY D O LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J GLAVEY III DO (OWNER/PHYSICIAN)
(863) 299-5424
Entity
Organization
Contact information
Practice address
575 E CENTRAL AVE, WINTER HAVEN, FL 33880-3054
(863) 299-5424
(863) 647-2410
Mailing address
PO BOX 3293, APOLLO BEACH, FL 33572-1000
(863) 299-5424
(863) 647-2410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS10216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS10216
LICENSE
FL
Enumeration date
12/12/2007
Last updated
12/10/2008
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