MR. Gerald Gilbert Glass, PA

NPI #1871996942 in Miramar, Florida

Provider Information

NPI Number
1871996942
Entity Type
Individual
Name
MR. Gerald Gilbert Glass, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Oct 3, 2014
Last Updated
Oct 3, 2014

Practice Location

Address
2901 SW 149TH AVE
Address 2
SUITE 400
State
Florida
ZIP Code
33027-4151
Phone
(954) 874-4603

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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