Male or Other

Adam R. Glassick PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Adam Ryan Glassick PA-C

NPI Number

1013211937

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/06/2011

Specialties

(Taxonomies)

Code

363A00000X
363AS0400X

Primary Taxonomy

Yes
No

Licenses

State

Florida
New York

License Number

PA9105842
022420

Contact
Information

Purpose

Mailing
Location

Address

570 STERNWHEEL DR
12303 SAN JOSE BLVD

City

St Johns
Jacksonville

State

FL
FL

Postal Code

32259-8662
32223-2640

Country

US
US

Telephone Number

(540) 460-4236
(904) 288-0277

Identifiers

Identifier

003323800

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/19/2020

Provider Address

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