Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME0051532 | FL |
NPI | 1336195403 |
---|---|
Provider Name | Richard S Glosser |
First Address | Homestead, FL 33030-4408 |
Second Address | Homestead, FL 33030-4408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 13/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000972100 | (05) | FL |
B84884 | (02) | FL |