Individual
GLEN LEE HORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(888) 663-3488
Mailing address
PO BOX 198441 MBC-MMG, ATLANTA, GA 30384-9441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
094989
OH
207ZC0006X
Clinical Pathology Physician
Primary
ME103153
FL
Other
Enumeration date
11/19/2008
Last updated
03/27/2024
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