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Individual

RICHARD STEPHEN GLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6405 NORTH FEDERAL HIGHWAY, SUITE 105, FORT LAUDERDALE, FL 33308
(954) 772-3660
(954) 772-0800
Mailing address
6405 NORTH FEDERAL HIGHWAY, SUITE 105, FORT LAUDERDALE, FL 33308
(954) 772-3660
(954) 772-0800

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME32732
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
93730
BCBS OF FLORIDA
FL
Enumeration date
09/08/2006
Last updated
06/23/2010
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