Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jeanette Marie Gluck, PA-C

Individual provider Physician Assistant · NPI 1023072170

MS. Jeanette Marie Gluck, PA-C is a Physician Assistant in Palm Bay, Florida. Qualified in 2005, 21 years ago. Practices with Florida Dermatology Associates Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5070 Minton Rd NW Ste 3
Palm Bay, FL 32907-1157
Phone: (321) 768-1600
Fax: (321) 255-2361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103559 (FL)

Record details

NPI number1023072170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Florida Dermatology Associates Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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