Provider Demographics
NPI:1366132359
Name:GLASER, MEGAN LEIGH (DOM, AP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEIGH
Last Name:GLASER
Suffix:
Gender:F
Credentials:DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4331 ONORIO ST
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-7216
Mailing Address - Country:US
Mailing Address - Phone:727-415-4242
Mailing Address - Fax:
Practice Address - Street 1:4331 ONORIO ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-7216
Practice Address - Country:US
Practice Address - Phone:727-415-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4455171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP4455OtherFLORIDA LICENSE