LAUREN ALEXANDRA GLICK (NPI# 1366085482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366085482 |
| Entity Type | Individual |
| Full Name | LAUREN ALEXANDRA GLICK |
| Credential | PA-C |
| Practice Address |
3000 N University Dr Ste K Coral Springs FL 33065-5082 |
| Mailing Address |
5861 Toscana Dr Apt 1437 Davie FL 33314-3576 |
| Practice Telephone | 9547522630 |
| Mailing Telephone | 9547987900 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9112586 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9112586 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9112586 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3000 N UNIVERSITY DR STE K |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-5082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255611166 | Nadine George Soro | Dermatology | 3000 N University Dr Ste K, Coral Springs, FL 33065-5082 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1245872068 | Grace Diana Perez | Developmental Therapist | 3325 N University Drive, Coral Springs, FL 33065 | 2019-10-14 |
| 1497397210 | Anjulia Maureen Nicholson | Speech-Language Pathologist | 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 | 2019-10-14 |
| 1467911131 | Sawgrass Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12415 Nw 35 Street, Coral Springs, FL 33065 | 2019-03-13 |
| 1992274252 | Kayon Shepherd | Dermatology | 7837 West Sample Rd, #127, Coral Springs, FL 33065 | 2018-11-15 |
| 1073009148 | Empire Detox, LLC | Clinic/Center | 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 | 2018-07-02 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1477051498 | Neuro Wellness Centers of America, LLC | Clinic/Center | 9734 W Sample Rd, Coral Springs, FL 33065 | 2018-01-24 |
| 1821502550 | Happy Adult Day Care Rehab, LLC | Clinic/Center | 7463 W Sample Rd, Coral Springs, FL 33065 | 2017-11-16 |
| 1821500059 | I'd Rather Be Home Homecare Services LLC | Registered Nurse | 7501 Nw 42nd Drive, Coral Springs, FL 33065 | 2017-10-27 |
| Find all providers in zip 33065 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1235529314 | Jacquelyn Bernstein | Physician Assistant | 5415 Nw 122nd Dr, Coral Springs, FL 33076-3639 | 2015-01-28 |
| 1497156160 | Natalia Harvey | Physician Assistant | 3100 Coral Hills Dr Ste 303, Coral Springs, FL 33065-4138 | 2014-09-11 |
| 1811275902 | Valentina Shtefan | Physician Assistant | 4376 N Sr 7, Suite 129, Coral Springs, FL 33073 | 2011-07-24 |
| 1316931108 | Angela Mesa-taylor | Physician Assistant | 9120a Wiles Rd, Coral Springs, FL 33067-1993 | 2005-09-07 |
| 1811357064 | Brooke Laine | Physician Assistant | 1500 N University Dr Ste 112, Coral Springs, FL 33071-6071 | 2016-03-01 |
| 1982097846 | Linda Calderon | Physician Assistant | 5850 Coral Ridge Dr Ste 106, Coral Springs, FL 33076-3379 | 2015-03-16 |
| 1396161519 | Amanda Jeanne O'loughlin | Physician Assistant | 1725 N University Dr, Ste #400, Coral Springs, FL 33071-6089 | 2014-03-12 |
| 1407120272 | William Daniel Correal | Physician Assistant | 700 Riverside Dr, Coral Springs, FL 33071-7008 | 2012-02-26 |
| 1083944797 | Kimberly Wroblewski | Physician Assistant | 6240 Coral Ridge Dr, Suite 105, Coral Springs, FL 33076-3389 | 2009-12-31 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
Please comment or provide details below to improve the information on LAUREN ALEXANDRA GLICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.