Individual
MRS. MICA DONNA ESQUENAZI GLAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 NW 13TH ST STE 206, BOCA RATON, FL 33486-2350
(561) 939-0177
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME160577
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME160577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118217200
—
FL
01
—
NGXET
BCBS
FL
Enumeration date
03/22/2017
Last updated
12/20/2024
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