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NPI Code Detail

MEDICARE: JOSHUA GLASSBERG RN

MEDICARE:   JOSHUA  GLASSBERG  RN
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
1363LF0000XFamily Nurse PractitionerAPRN11040861FL

General Provider Information

NPI Number : 1386533214
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA GLASSBERG RN
Provider Business Mailing Address
First Line : 5501 ROOSEVELT BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32244-2345
Country : US
Telephone Number : 904-683-9662
Fax Number : 904-683-9640
Provider Business Practice Location Address
First Line : 5501 ROOSEVELT BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32244-2345
Country : US
Telephone Number : 904-683-9662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2025
Last Update Date : 02/17/2026

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