# GLENNAL M VERBOIS M.D. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881159846
- **Authorized official:** DR. GLENNAL M VERBOIS MD (OWNER)
- **Authorized official phone:** (850) 206-9059

## Contact information

- **Practice address:** 12440 CORTEZ BLVD, BROOKSVILLE, FL 34613-2628
- **Practice address phone:** (850) 206-9059
- **Mailing address:** PO BOX 10183, BROOKSVILLE, FL 34603-0183
- **Mailing address phone:** (850) 206-9059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 12/12/2019