Individual
CHRISTOPHER BRANDON GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 351-7200
Mailing address
1419 SE 37TH AVE, OCALA, FL 34471-4917
(352) 653-8131
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
9380826
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11007013
FL
Other
Enumeration date
03/24/2020
Last updated
05/04/2020
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