Provider Demographics
NPI:1821238890
Name:AROUND THE CLOCK MEDICAL CENTER OF LIBERTY CITY INC
Entity Type:Organization
Organization Name:AROUND THE CLOCK MEDICAL CENTER OF LIBERTY CITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-757-1872
Mailing Address - Street 1:5935 NW 12TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-1053
Mailing Address - Country:US
Mailing Address - Phone:305-757-1872
Mailing Address - Fax:305-758-3496
Practice Address - Street 1:5935 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-1053
Practice Address - Country:US
Practice Address - Phone:305-757-1872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7563261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265784800Medicaid
FL265784800Medicaid