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Cindy Holston Glassick, PA-C

Physician Assistant, Medical in Jacksonville, FL. Individual provider (NPI-1).

NPI number1154580462
StatusActive
Last updated in NPPESJun 3, 2008

Details

NPI
1154580462
Entity type
Individual (NPI-1)
Name
Cindy Holston Glassick
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 3, 2008
Last updated
Jun 3, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA9102273FLYes

Practice location

4901 Richard St
Jacksonville, FL 32207-7328

Phone 904-237-7301

Mailing address

1186 Eastwood Branch Dr
Jacksonville, FL 32259-1803

Phone 904-287-0136

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