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NPI 1679878904ActiveOrganization· Nurse Practitioner, Family· Jacksonville, FL
Nurse Practitioner, Family in Jacksonville, Florida, registered in NPPES in January 2011. The authorized official on file is Richard Dean Glassman, Medical Director.
Overview
| NPI | 1679878904 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2011 |
| Last updated in NPPES | Jan 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 9193543 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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