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Individual

DR. SCOTT GARY GLICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
709 S HARBOR CITY BLVD STE 110, MELBOURNE, FL 32901-1906
(321) 499-4646
(321) 270-9449
Mailing address
709 S HARBOR CITY BLVD STE 110, MELBOURNE, FL 32901-1906
(321) 499-4646
(321) 270-9449

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
02003330A
IN
207T00000X
Neurological Surgery Physician
036118927
IL
207T00000X
Neurological Surgery Physician
13305
CA
207T00000X
Neurological Surgery Physician
13826
ND
207T00000X
Neurological Surgery Physician
DO2209
NV
207T00000X
Neurological Surgery Physician
DR.0057671
CO
207T00000X
Neurological Surgery Physician
Primary
OS20670
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679693428
NV
Enumeration date
03/29/2007
Last updated
04/03/2026
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