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Dr. Jacob Leon Glock, MD
Specialist in Fort Myers, Florida
NPI 1386943694

Jacob Leon Glock is a Specialist based in Fort Myers, FL. Jacob Leon Glock practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Jacob Leon Glock is 1386943694 and holds a License No. ME0057264 (Florida).

The current practice location address for Jacob Leon Glock is 15730 New Hampshire Ct, Fort Myers, FL and can be reached out via phone at 239-561-3430 and via fax at 239-561-6980.

Location: 15730 New Hampshire Ct, Fort Myers, FL, 33908-4121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386943694
Provider Name
Jacob Leon Glock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15730 New Hampshire Ct, Fort Myers, FL, 33908-4121
Phone Number
239-561-3430
Fax Number
239-561-6980
Provider Enumeration Date
03/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
379285400 05 FL
institution
Provider Business Practice Location Address Details
Address
15730 New Hampshire Ct
City
Fort Myers
State
Florida
Zip
33908-4121
Phone Number
239-561-3430
Fax Number
239-561-6980
person
Provider Business Mailing Address Details
Address
15730 New Hampshire Ct
City
Fort Myers
State
Florida
Zip
33908-4121
Phone Number
239-561-3430
Fax Number
239-561-6980
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0057264 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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