| NPI | 1053913095 |
|---|---|
| Former Legal Business Name | GLOMAR MEDICAL LLC |
| Entity Type | Organization |
| Authorized Contact | NEIL J FREY Chief Executive Officer 321-543-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-12-03 |