Individual
GLEN A. HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NE 20TH LN, BOYNTON BEACH, FL 33435-2401
(561) 542-1553
Mailing address
600 NE 20TH LN, BOYNTON BEACH, FL 33435-2401
(561) 542-1553
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME56248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055137600
—
FL
01
—
12808
BCBS OF FLORIDA
FL
01
—
298805
AVMED
FL
Enumeration date
01/12/2006
Last updated
02/10/2025
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