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)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