Thomas Glaza, M.A., M. ED

NPI 1548247968 · on the registry since 2005 · sole proprietor

Practice

Address: 12497 Tamiami Trl S
Suite #9
North Port, FL 34287
Phone: (941) 429-0804
Fax: (941) 429-0814
Organisation at this address: Wellen Family Dental Inc
Sunshine State Dermatology And Skin Cancer Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YA0400X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida