Organization Active NPI

Frances Glicksman MD PA

  • Medical Specialty Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1063729127
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME0051210 Issued in FL
Legal business name
FRANCES GLICKSMAN MD PA
Practice address
4302 Alton Rd Ste 105
Miami Beach, FL 33140-2892
Phone
(305) 674-1887
Fax
(305) 674-1890
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frances Glicksman, MD
Title
Physician
Phone
(305) 674-1887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME0051210 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 105
Miami Beach, FL 33140-2892

Mailing address

5 Chippewa CT
Suffern, NY 10901-4158
Phone (305) 790-7049

Other identifiers 1

IdentifierTypeStateIssuer
057769300MedicaidFL

National Provider Directory

National Provider Directory

Locations

4308 Alton Rd
Ste 780
Miami Beach, FL 33140
Phone (305) 531-6967

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1063729127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHIPPEWA CT",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014158",
            "telephone_number": "305-790-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 105",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402892",
            "telephone_number": "305-674-1887",
            "fax_number": "305-674-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCES GLICKSMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "GLICKSMAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-674-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0051210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057769300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.