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NPI Code Detail

MEDICARE: DR. HOWARD M GLICKSMAN MD

MEDICARE: DR. HOWARD M GLICKSMAN MD
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
1208D00000XGeneral Practice Physician041596FL
2207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianME41596FL
3208D00000XGeneral Practice PhysicianME41596FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00468392OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568424836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD M GLICKSMAN MD
Provider Business Mailing Address
First Line : 17757 US HWY 19 NORTH
Second Line : SUITE 400
City : CLEARWATER
State : FL
Zip : 33764-6560
Country : US
Telephone Number : 727-450-2210
Fax Number : 727-450-2235
Provider Business Practice Location Address
First Line : 7154 MEDICAL CENTER DRIVE
Second Line :
City : SPRING HILL
State : FL
Zip : 34608-1329
Country : US
Telephone Number : 352-596-1926
Fax Number : 352-597-2154
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 08/07/2008

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Directions to “ DR. HOWARD M GLICKSMAN MD” Practice Location

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