Individual provider · Type 1 NPI

Gerald Gilbert Glass, PA

Medical Physician Assistant · Miramar, FL

NPI number 1871996942 Active

Practice location

2901 SW 149th Ave, Suite 400
Miramar, FL 33027-4151

Fax (954) 874-3261

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA3172 (FL)

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1871996942

Gerald Gilbert Glass, PA's National Provider Identifier is 1871996942, issued on Oct 3, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Miramar, FL. The record was last updated on Oct 3, 2014.