Michael Glick, M.D. P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0051531 Issued in FL

Legal business name

MICHAEL GLICK, M.D. P.A.

Practice address

1501 N US Highway 441
Suite 1102
The Villages, FL 32159-8999

Phone

(352) 753-5222

Fax

(352) 753-6483

NPI assigned

Aug 5, 2006

Last updated

Aug 22, 2020By 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

Maria Glick

Title

Office Manager

Phone

(352) 753-5222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639188329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N US HIGHWAY 441",
            "address_2": "SUITE 1102",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598999",
            "telephone_number": "352-753-5222",
            "fax_number": "352-753-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N US HIGHWAY 441",
            "address_2": "SUITE 1102",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598999",
            "telephone_number": "352-753-5222",
            "fax_number": "352-753-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GLICK, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-753-5222"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0051531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA PROVIDER ID",
            "identifier": "21793",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.