Provider Demographics
NPI:1639305816
Name:RONALD J GLATZER MD PA
Entity type:Organization
Organization Name:RONALD J GLATZER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:GLATZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-498-9100
Mailing Address - Street 1:3205 SAINT CHARLES PL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5335
Mailing Address - Country:US
Mailing Address - Phone:561-213-2566
Mailing Address - Fax:954-318-7350
Practice Address - Street 1:16201 S MILITARY TRL
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6503
Practice Address - Country:US
Practice Address - Phone:561-498-9100
Practice Address - Fax:561-498-8188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 15921207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty