Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME58607 | FL |
N | 207ND0900X | Dermatopathologist | ME58607 | FL |
NPI | 1003925173 |
---|---|
Provider Name | Steven M Glanz |
First Address | Highland Beach, FL 33487-4215 |
Second Address | Stuart, FL 34997-8105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 21/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14634Z | (02) | FL |
2529142 | (05) | OH |
370769501 | (05) | FL |