| Glaros Medical Llc | |
|
119 Oakfield Dr Brandon FL 33511-5779 | |
| (855) 421-2733 | |
| Not Available |
| Full Name | Glaros Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 Oakfield Dr, Brandon, Florida |
| Authorized Official Name and Position | Laura Sahyoun (CREDENTIALING) |
| Authorized Official Contact | 4077881906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glaros Medical Llc Po Box 933 Brandon FL 33509-0933 Ph: () - | Glaros Medical Llc 119 Oakfield Dr Brandon FL 33511-5779 Ph: (855) 421-2733 |
| NPI Number | 1578027041 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 01/29/2019 |
| Medicare PECOS PAC ID | 0042559122 |
|---|---|
| Medicare Enrollment ID | O20190307001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578027041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eugenia Diana Glaros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629403126 PECOS PAC ID: 6901182153 Enrollment ID: I20170424002111 |
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