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NPI Code Detail

MEDICARE: DR. ALEXANDER EDWARD GLICK M.D.

MEDICARE: DR. ALEXANDER EDWARD GLICK 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
1207RH0000XHematology (Internal Medicine) PhysicianME128071FL
2207RX0202XMedical Oncology PhysicianME128071FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598081911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER EDWARD GLICK M.D.
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line : ATTN: CREDENTIALING
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 1970 GOLF ST
Second Line :
City : SARASOTA
State : FL
Zip : 34236-6908
Country : US
Telephone Number : 941-957-1000
Fax Number : 941-951-2117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2010
Last Update Date : 12/01/2025

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