MEDICARE: HERMANDA GLASER, MD, 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1114249398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERMANDA GLASER, MD, PA

Provider Business Mailing Address
First Line	:	1017-1019 PROFESSIONAL PARK DR
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-4886
Country	:	US
Telephone Number	:	813-643-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1017-1019 PROFESSIONAL PARK DR
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-4886
Country	:	US
Telephone Number	:	813-643-9000
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/OWNER/MGMR
Name	:	DR. HERMANDA GLASER
Credential	:	MD
Telephone Number	:	813-643-9000

Provider Enumeration Date	:	02/16/2010
Last Update Date	:	02/16/2010

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