Individual provider · Type 1 NPI

Jacob Leon Glock, MD

Specialist · Fort Myers, FL

NPI number 1386943694 Active

Practice location

15730 New Hampshire Ct, Unit 101
Fort Myers, FL 33908-4121

Call (239) 561-3430 Map

Fax (239) 561-6980

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME0057264 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386943694

Jacob Leon Glock, MD's National Provider Identifier is 1386943694, issued on Mar 25, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 25, 2011.