Provider Demographics
NPI:1457624348
Name:DR. MORTON GLASSER
Entity Type:Organization
Organization Name:DR. MORTON GLASSER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORTON
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:GLASSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-261-9601
Mailing Address - Street 1:4001 HILLCREST DR
Mailing Address - Street 2:APT. 1001
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-7960
Mailing Address - Country:US
Mailing Address - Phone:954-986-0140
Mailing Address - Fax:954-962-6437
Practice Address - Street 1:4001 HILLCREST DR
Practice Address - Street 2:APT. 1001
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-7960
Practice Address - Country:US
Practice Address - Phone:954-986-0140
Practice Address - Fax:954-962-6437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2935111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty