MEDICARE: DEBORAH ZIPIN GLICK M.D.

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
1	207RH0000X	Hematology (Internal Medicine) Physician	ME87155	FL
2	207RX0202X	Medical Oncology Physician	ME87155	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1962450783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ZIPIN GLICK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 749495
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9495
Country	:	US
Telephone Number	:	855-963-2100
Fax Number	:	813-976-7823

Provider Business Practice Location Address
First Line	:	708 GOODLETTE RD NORTH STE 200
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5644
Country	:	US
Telephone Number	:	239-231-7260
Fax Number	:	239-947-5298

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/10/2025

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