Jeanette Marie Gluck in Palm Bay - Physician Assistant
Jeanette Marie Gluck - NPI 1023072170
Jeanette Marie Gluck is a Physician Assistant in Palm Bay, Florida. Jeanette Marie Gluck practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeanette Marie Gluck is 1023072170. The last update date is 2020-10-01.
Jeanette Marie Gluck's current location address is 5070 Minton Rd Nw Ste 3, Palm Bay, Florida. You can contact this provider via phone number 3217681600 and fax number 3214350100. The mailing address for Jeanette Marie Gluck is 5070 Minton Rd Nw Ste 3, Palm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanette Marie Gluck |
|---|---|
| Address | 5070 Minton Rd Nw Ste 3, Palm Bay, Florida |
| Phone Number | 3217681600 |
| Fax Number | 3214350100 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1023072170 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2020-10-01 |
Provider Mailing Address Detail
| Address | 5070 Minton Rd Nw Ste 3 |
|---|---|
| City | Palm Bay |
| State | Florida (FL) |
| Post Code | 329071157 |
| Phone Number | 3217681600 |
| Fax Number | 3214350100 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103559 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y07HY | FL | FLORIDA BLUE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeanette Marie Gluck?
The Jeanette Marie Gluck has been issued the NPI (National Provider Identifier) 1023072170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jeanette Marie Gluck's physical address?
The Jeanette Marie Gluck is physically located at 5070 Minton Rd Nw Ste 3, in the city of Palm Bay, FL, with the postal code 329071157.
What is Jeanette Marie Gluck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeanette Marie Gluck is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did Jeanette Marie Gluck receive its 1023072170 assignment from the Centers for Medicare & Medicaid Services?
The Jeanette Marie Gluck was assigned its 1023072170 on 2006-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jeanette Marie Gluck most recently updated or refreshed?
The details pertaining to the Jeanette Marie Gluck, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-01.