Provider Demographics
NPI:1912962507
Name:GLABMAN, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:GLABMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9485 SW 72ND ST
Mailing Address - Street 2:SUITE A195
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3242
Mailing Address - Country:US
Mailing Address - Phone:305-274-7272
Mailing Address - Fax:305-274-3585
Practice Address - Street 1:9485 SW 72ND ST
Practice Address - Street 2:SUITE A195
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3242
Practice Address - Country:US
Practice Address - Phone:305-274-7272
Practice Address - Fax:305-274-3585
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL39567207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96129OtherBC/BS OF FLORIDA
FLD63742Medicare UPIN
FL96129OtherBC/BS OF FLORIDA