GERALD G GLASS
Physician Assistant at Derby Ln, Fort Lauderdale, FL

License number
Florida 3172
Issued Date
Dec 11, 1996
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
3480 Derby Ln, Fort Lauderdale, FL 33331
3399NW 72Nd Ave SUITE 101, Miami, FL 33122
Phone
(954) 336-5599
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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Gerald G Glass PA

Ft Lauderdale, FL

Industry:
Ret Paint/Glass/Wallpaper
Doing business as:
Gerald G. Glass, PA
Registration:
Jan 5, 1998
Addresses:
3480 Derby Ln, Ft Lauderdale, FL 33331
3970 Martin Ct, Ft Lauderdale, FL 33331
State ID:
P98000000782
Business type:
Domestic for Profit Corporation
Principal, President, Director:
Gerald G. Glass (Principal, President, Director)
Agent:
Rochelle S. Matza

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