Individual
FREDERICK L GLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 SW 35 DRIVE, GAINESVILLE, FL 32608
(800) 226-8968
(407) 856-2312
Mailing address
PO BOX 100275, 1600 SW ARCHER ROAD, GAINESVILLE, FL 32601
(352) 273-7841
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
ME75437
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME75437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257135800
—
FL
Enumeration date
01/11/2006
Last updated
07/31/2008
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