Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | ME49003 | FL |
NPI | 1033146782 |
---|---|
Provider Name | Marilyn K Glassberg |
First Address | Miami, FL 33136-1028 |
Second Address | Miami, FL 33136-1005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 25/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07242 | (02) | FL |
3711846-00 | (05) | FL |
D84950 | (02) | FL |