Individual
DR. GLENN WILLIAM STAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14055 RIVEREDGE DR STE 250, TAMPA, FL 33637-2141
(813) 929-5451
(813) 929-5465
Mailing address
PO BOX 403444, ATLANTA, GA 30384-3444
(813) 348-6951
(813) 348-6999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME76556
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME76556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254668000
—
FL
01
—
300130409
RR MCR
FL
Enumeration date
02/21/2006
Last updated
08/11/2025
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