| Herman Gleicher Md Pa | |
|
21202 Olean Blvd Unit C-1 Port Charlotte FL 33952-6751 | |
| (941) 889-7440 | |
| (941) 391-6089 |
| Full Name | Herman Gleicher Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 21202 Olean Blvd, Port Charlotte, Florida |
| Authorized Official Name and Position | Herman Gleicher (OWNER) |
| Authorized Official Contact | 9418897440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Herman Gleicher Md Pa Po Box 495009 Port Charlotte FL 33949-5009 Ph: (941) 889-7440 | Herman Gleicher Md Pa 21202 Olean Blvd Unit C-1 Port Charlotte FL 33952-6751 Ph: (941) 889-7440 |
| NPI Number | 1528268430 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 10/04/2016 |
| Medicare PECOS PAC ID | 7315034568 |
|---|---|
| Medicare Enrollment ID | O20071105000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528268430 | NPI | - | NPPES |
| 277499200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME93953 (Florida) | Primary |
| Provider Name | Herman Gleicher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578550273 PECOS PAC ID: 6406889427 Enrollment ID: I20050912000330 |
| Provider Name | Brandy N Hauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558023028 PECOS PAC ID: 3678967502 Enrollment ID: I20220218001169 |
| Provider Name | Victoria Danielle Dandino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831825728 PECOS PAC ID: 9739562752 Enrollment ID: I20220823003517 |
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