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NPI Code Detail

MEDICARE: BOGUSLAW GLUSZAK M.D.

MEDICARE: BOGUSLAW GLUSZAK 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
12084P0800XPsychiatry PhysicianME104526FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689632994
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOGUSLAW GLUSZAK M.D.
Provider Business Mailing Address
First Line : 1767 LAKEWOOD RANCH BLVD
Second Line : NO. 255
City : BRADENTON
State : FL
Zip : 34211-4906
Country : US
Telephone Number : 813-699-4020
Fax Number : 813-464-7682
Provider Business Practice Location Address
First Line : 1437 S BELCHER RD
Second Line :
City : CLEARWATER
State : FL
Zip : 33764-2829
Country : US
Telephone Number : 727-524-4464
Fax Number : 727-538-7272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 05/27/2025

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