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NPI Code Detail

MEDICARE: DR. JEFFREY GLEIBERMAN PA

MEDICARE: DR. JEFFREY GLEIBERMAN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center1646FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043550478
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. JEFFREY GLEIBERMAN PA
Provider Business Mailing Address
First Line : 54 CURTISS PKWY
Second Line :
City : MIAMI SPRINGS
State : FL
Zip : 33166-5219
Country : US
Telephone Number : 305-883-1664
Fax Number : 305-883-3306
Provider Business Practice Location Address
First Line : 54 CURTISS PKWY
Second Line :
City : MIAMI SPRINGS
State : FL
Zip : 33166-5219
Country : US
Telephone Number : 305-883-1664
Fax Number : 305-883-3306
Authorized Official
Title or Position : PRESIDENT
Name : JEFFREY J GLEIBERMAN
Credential : O.D.
Telephone Number : 305-883-1664
Provider Enumeration Date : 02/21/2013
Last Update Date : 02/21/2013

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Directions to “DR. JEFFREY GLEIBERMAN PA ” Practice Location

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