Organization
DR. GLENN A. PFAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ALBIN PFAFF M.D. (PHYSICIAN)
(407) 352-1588
Entity
Organization
Contact information
Practice address
7300 SANDLAKE COMMONS BLVD STE 315, ORLANDO, FL 32819-8011
(407) 352-1588
(407) 352-9823
Mailing address
7300 SANDLAKE COMMONS BLVD STE 315, ORLANDO, FL 32819-8011
(407) 352-1588
(407) 352-9823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47388
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/10/2014
Last updated
11/10/2014
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