Individual
DR. GARY ALAN GLICKSTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8614 BAYMEADOWS WAY STE 100, JACKSONVILLE, FL 32256-8236
(904) 396-0450
(904) 346-0212
Mailing address
8614 BAYMEADOWS WAY, SUITE 100, JACKSONVILLE, FL 32256-8236
(904) 396-0450
(904) 346-0212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME74520
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01028954
RAILROAD MEDICARE
FL
Enumeration date
10/24/2006
Last updated
12/14/2015
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