Organization
R. DEAN GLASSMAN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DEAN GLASSMAN MD (OWNER)
(904) 421-2119
Entity
Organization
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1603, JACKSONVILLE, FL 32207-8334
(904) 421-2119
Mailing address
836 PRUDENTIAL DR, SUITE 1603, JACKSONVILLE, FL 32207-8334
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
07/25/2007
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