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

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, MD

Title

Owner

Phone

(305) 672-6100

Specialties & licenses 1

Addresses

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.