Gary L Glick MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GARY L GLICK MD PA

Practice address

4308 Alton Rd
Suite 410
Miami Beach, FL 33140-2840

Phone

(305) 672-6100

Fax

(305) 532-7444

NPI assigned

Oct 24, 2008

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary L Glick, MDNPI 1093872145

Title

Owner

Phone

(305) 672-6100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Lewis Glick, M.D.

  • Surgery Physician
  • Miami Beach, FL
  • NPI 1093872145
  Authorized official Same address or phone

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1124271994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 410",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402840",
            "telephone_number": "305-672-6100",
            "fax_number": "305-532-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 410",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402840",
            "telephone_number": "305-672-6100",
            "fax_number": "305-532-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L GLICK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-672-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garnier Med Spa, Inc.
• Sarah Garon, M.D.
• Manuel Garrido, ARNP-BC
• Catheline L Garrison
• Gary J. Rosenbaum, M.D., P.a.
• Sandra Cetoute Gassant, ARNP
• Christopher David Gates, RPH
• Jordany Gattorno, C.R.N.A
• Bryan Gaudio, D.O.
• Susan Gauthier, M.A.

• Surgery Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.