MEDICARE: DR. DAVID GLAZER DC

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	111N00000X	Chiropractor	CH13920	FL

General Provider Information

NPI Number	:	1265185854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID GLAZER DC

Provider Business Mailing Address
First Line	:	2806 W CLEVELAND ST APT C
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3199
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5880 49TH ST N STE 105
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2142
Country	:	US
Telephone Number	:	727-291-1660
Fax Number	:

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

Provider Enumeration Date	:	02/02/2022
Last Update Date	:	02/02/2022

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Directions to “ DR. DAVID GLAZER DC” Practice Location

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