Edward Glavey D O LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS10216 Issued in FL

Legal business name

EDWARD GLAVEY D O LLC

Practice address

575 E Central Ave
Winter Haven, FL 33880-3054

Phone

(863) 299-5424

Fax

(863) 647-2410

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward J Glavey III, DO

Title

Owner/Physician

Phone

(863) 299-5424

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1487837480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3293",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721000",
            "telephone_number": "863-299-5424",
            "fax_number": "863-647-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803054",
            "telephone_number": "863-299-5424",
            "fax_number": "863-647-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD GLAVEY D O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "GLAVEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "863-299-5424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS10216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS10216",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Linda Edler
• James Randall Edwards, M.D.
• Marguerite Edwards, ARNP
• Tracy Lee Eilers, APRN-C
• Ahmad El-Far, M.D.
• Ela M. Torres-Moore, D.M.D. P.a.

• Surgery Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.