Individual
DR. HOWARD M GLICKSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7154 MEDICAL CENTER DRIVE, SPRING HILL, FL 34608-1329
(352) 596-1926
(352) 597-2154
Mailing address
17757 US HWY 19 NORTH, SUITE 400, CLEARWATER, FL 33764-6560
(727) 450-2210
(727) 450-2235
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
ME41596
FL
208D00000X
General Practice Physician
041596
FL
208D00000X
General Practice Physician
Primary
ME41596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068222500
—
FL
01
—
P00468392
RAILROAD MEDICARE
FL
Enumeration date
04/04/2006
Last updated
08/07/2008
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