=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275318941
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LILIYA GLAVATSKYY MSN, FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2023
-----------------------------------------------------
Last Update Date | 10/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4140 WOODLANDS PKWY
-----------------------------------------------------
City | PALM HARBOR
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34685-3494
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-953-9041
-----------------------------------------------------
Fax | 727-953-9043
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7507 WHISPER WOODS CT
-----------------------------------------------------
City | NEW PORT RICHEY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34655-4060
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-232-2652
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN11028477
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------