Organization Active NPI

Richard Glick, M.D.

  • Rheumatology Physician
  • Ft Lauderdale, FL
National Provider Identifier
1134511025
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RICHARD GLICK, M.D.
Practice address
6405 N Federal Hwy
Suite 105
Ft Lauderdale, FL 33308-1412
Phone
(910) 772-3660
Fax
(954) 772-0800
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Ms. Raquel Salazar
Title
Office Manager
Phone
(954) 530-3499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

6405 N Federal Hwy
Suite 105
Ft Lauderdale, FL 33308-1412

Mailing address

6405 N Federal Hwy
Suite 105
Ft Lauderdale, FL 33308-1412
Phone (910) 772-3660

Other identifiers 1

IdentifierTypeStateIssuer
93730OtherFLMEIDCARE PTAN

National Provider Directory

National Provider Directory

Locations

6405 N Federal Hwy
Ste 105
Ft Lauderdale, FL 33308
Phone (305) 772-3660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1134511025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 105",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "910-772-3660",
            "fax_number": "954-772-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 105",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "910-772-3660",
            "fax_number": "954-772-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GLICK, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-530-3499",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEIDCARE PTAN",
            "identifier": "93730",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.