FREDERICK L GLAVIN (NPI# 1558340323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558340323 |
| Entity Type | Individual |
| Full Name | FREDERICK L GLAVIN |
| Credential | M.D. |
| Practice Address |
4800 Sw 35 Drive Gainesville FL 32608 |
| Mailing Address |
Po Box 100275 1600 Sw Archer Road Gainesville FL 32601 |
| Practice Telephone | 8002268968 |
| Practice Fax Number | 4078562312 |
| Mailing Telephone | 3522737841 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2008-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
ME75437 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME75437 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257135800 | 05 |
| Street Address |
4800 SW 35 DRIVE |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831395987 | Alan Edwin Siroy | Pathology | 1600 Sw Archer Road Box 100275, Gainesville, FL 32610-0001 | 2007-06-25 |
| 1073682514 | James Michael Magill Jr. | Pathology | 4800 Sw 35th Dr, Gainesville, FL 32608-7686 | 2006-11-07 |
| 1811285109 | Kristen Elizabeth Schmits | Pathology | 1600 Sw Archer Rd, Box 100279, Gainesville, FL 32610-0279 | 2011-07-20 |
| 1134174253 | Luis L Alvarez | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679892814 | Grigory Gelikman | Pathology | 725 East Oak Street, Kissimmee, FL 34744-8201 | 2010-05-27 |
| 1013170513 | Cr Jeannette Morales | Pathology | 1500 N Dixie Highway, Suite 308, West Palm Beach, FL 33401-2717 | 2008-07-03 |
| 1902074628 | Jefferson Davis Morgan | Pathology | 801 Maplewood Drive, Suite 5, Jupiter, FL 33458-8800 | 2008-02-15 |
| 1942416334 | Mary Therese Parisi | Pathology | 17909 Bahama Isle Drive, Tampa, FL 33647 | 2007-05-15 |
| 1912120536 | Pamela M. F. Manolson | Pathology | 20001 Lomond Ln, Tampa, FL 33647-3347 | 2007-04-11 |
| 1336272608 | Zhifeng Huo | Pathology | 14932 Pines Blvd, Pembroke Pines, FL 33027-1213 | 2007-03-14 |
| 1093847089 | William Eng | Pathology | 8313 W Hillsborough Ave Ste 320, 8002 Gunn Hwy, Tampa, FL 33615-3802 | 2007-03-12 |
| 1871663088 | Francessca L Brettschneider | Pathology | 20601 E. Dixie Highway, S. 300, Aventura, FL 33180 | 2006-11-08 |
| 1962584078 | Zafar M Khan | Pathology | 12300 Alt. A1a, Suite 204, Palm Beach Gardens, FL 33410-8361 | 2006-10-19 |
| 1366555344 | John E Karroum | Pathology | 181 W Prospect Rd, Oakland Park, FL 33309-3923 | 2006-08-16 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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| 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.