Provider Demographics
NPI:1477382992
Name:GLASSMAN, JULIAN LANOR (PA-C)
Entity type:Individual
Prefix:MISS
First Name:JULIAN
Middle Name:LANOR
Last Name:GLASSMAN
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Gender:
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 160295
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-0295
Mailing Address - Country:US
Mailing Address - Phone:904-458-1303
Mailing Address - Fax:904-541-0316
Practice Address - Street 1:15255 MAX LEGGET PKWY STE 5100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-7274
Practice Address - Country:US
Practice Address - Phone:904-541-0315
Practice Address - Fax:904-541-0316
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2025-03-20
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Provider Licenses
StateLicense IDTaxonomies
FLPA9119015363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant