Individual
CANDACE JORDAN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4037 NW 86TH TER FL 4, GAINESVILLE, FL 32606-9277
(352) 594-1500
(352) 594-1926
Mailing address
4037 NW 86TH TER FL 4, GAINESVILLE, FL 32606-9277
(352) 594-1500
(352) 594-1926
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
TRN17317
FL
Other
Enumeration date
05/24/2012
Last updated
01/02/2014
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