Provider Demographics
NPI:1952429961
Name:DAVID Y.GLOBERMAN, M.D. PLLC
Entity Type:Organization
Organization Name:DAVID Y.GLOBERMAN, M.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GLOBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-987-0222
Mailing Address - Street 1:3700 WASHINGTON ST
Mailing Address - Street 2:SUITE #208
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8256
Mailing Address - Country:US
Mailing Address - Phone:954-987-0222
Mailing Address - Fax:954-987-0900
Practice Address - Street 1:3700 WASHINGTON STREET
Practice Address - Street 2:SUITE #208
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8249
Practice Address - Country:US
Practice Address - Phone:954-987-0222
Practice Address - Fax:954-987-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00424312086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL07498Medicare ID - Type Unspecified
FLD21232Medicare UPIN