MEDICARE: FREDERICK L GLAVIN 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME75437	FL
2	207ZD0900X	Dermatopathology (Pathology) Physician	ME75437	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	:	1558340323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDERICK L GLAVIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 100275
Second Line	:	1600 SW ARCHER ROAD
City	:	GAINESVILLE
State	:	FL
Zip	:	32601
Country	:	US
Telephone Number	:	352-273-7841
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 SW 35 DRIVE
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608
Country	:	US
Telephone Number	:	800-226-8968
Fax Number	:	407-856-2312

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	07/31/2008

Similar Medicare Providers

1487507455 — ELISABETH KING
Practice Location Address:

4440 SW ARCHER RD
GAINESVILLE, FL
32608-2255

Practice Phone: 352-768-6192
Practice Fax:

1033062054 — JOSHUA DIXON
Practice Location Address:

1515 SW ARCHER RD
GAINESVILLE, FL
32608-1134

Practice Phone: 352-733-0800
Practice Fax:

1801502414 — POCKET PEDIATRICS PA
Practice Location Address:

3253 SW 121ST WAY
GAINESVILLE, FL
32608-0225

Practice Phone: 727-457-0101
Practice Fax:

1255728283 — KRISTA MARIE MANTAY RINGEY RD
Practice Location Address:

1515 SW ARCHER RD
GAINESVILLE, FL
32608-1134

Practice Phone: 352-265-0111
Practice Fax: 352-265-1071

1285078972 — ALEXANDRA THERESA ISSA ROACH M.D.
Practice Location Address:

1601 SW ARCHER RD
GAINESVILLE, FL
32608-1135

Practice Phone: 352-548-6058
Practice Fax:

1861346561 — ELENA JACINTO PT
Practice Location Address:

7453 SW 88TH ST
GAINESVILLE, FL
32608-8793

Practice Phone: 407-970-5615
Practice Fax:

1427008424 — GILBERT J DANIEL MD
Practice Location Address:

1601 SW ARCHER RD
GAINESVILLE, FL
32608-1135

Practice Phone: 352-376-1611
Practice Fax:

Directions to “ FREDERICK L GLAVIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.