DR. JACOB LEON GLOCK (NPI# 1386943694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386943694 |
| Entity Type | Individual |
| Full Name | DR. JACOB LEON GLOCK |
| Credential | MD |
| Practice Address |
15730 New Hampshire Ct Unit 101 Fort Myers FL 33908-4121 |
| Practice Telephone | 2395613430 |
| Practice Fax Number | 2395616980 |
| Mailing Telephone | 2395613430 |
| Mailing Fax Number | 2395616980 |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0057264 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 379285400 | 05 |
| Street Address |
15730 NEW HAMPSHIRE CT UNIT 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588749618 | Southwest Florida Fertility Center Pa | Obstetrics & Gynecology | 15730 New Hampshire Ct, Suite 101, Fort Myers, FL 33908 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831564533 | Multi-care Orthopedics and Spinal Rehabilitation, Pllc | Specialist | 13701 Cypress Terrace Cir, Fort Myers, FL 33907-8828 | 2015-12-07 |
| 1730406794 | Scott L Geller Md Pa | Specialist | 29 Barkley Cir, Fort Myers, FL 33907-7531 | 2010-04-29 |
| 1811213184 | Lee County Medical Solutions Inc. | Specialist | 3822 Broadway Ste C, Fort Myers, FL 33901-8148 | 2010-04-12 |
| 1639318322 | John D Ritrosky Md Pa | Specialist | 13981 Mcgregor Blvd Ste 101, Fort Myers, FL 33919-6130 | 2009-02-19 |
| 1245481597 | Southwest Florida Facial Plastic Surgery Associates Inc. | Specialist | 9407 Cypress Lake Dr Ste A, Fort Myers, FL 33919-0910 | 2008-10-06 |
| 1942458989 | Clinics To Go, P.a. | Specialist | 1662 Mcgregor Reserve Dr, Fort Myers, FL 33901-9654 | 2008-09-03 |
| 1790971950 | Renee Marie Terrasi | Specialist | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2007-09-21 |
| 1881885606 | Barbara Jo Gutstadt | Specialist | 11150 Harbour Yacht Ct, C, Fort Myers, FL 33908-1150 | 2007-08-06 |
| 1417157538 | Children's Specialists of Fl Pa | Specialist | 7970 Summerlin Lakes Dr, Suite 200, Fort Myers, FL 33907-1855 | 2007-07-18 |
| 1144436510 | Jeffrey W Lewis | Specialist | 16400 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2007-05-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on DR. JACOB LEON GLOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.