Provider Demographics
NPI:1578550273
Name:GLEICHER, HERMAN (MD)
Entity type:Individual
Prefix:
First Name:HERMAN
Middle Name:
Last Name:GLEICHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 COLLINGSWOOD BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-1148
Mailing Address - Country:US
Mailing Address - Phone:941-979-9238
Mailing Address - Fax:941-979-9336
Practice Address - Street 1:1435 COLLINGSWOOD BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-1148
Practice Address - Country:US
Practice Address - Phone:941-629-3502
Practice Address - Fax:941-979-9238
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 93953207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI39568Medicare UPIN
FLU5664UMedicare PIN
FLU5664ZMedicare ID - Type Unspecified