Individual
GLENDA SUE CONANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
800 E BAY DR, STE. B, LARGO, FL 33770-2532
(727) 518-6218
(727) 559-7868
Mailing address
800 E BAY DR, STE. B, LARGO, FL 33770-2532
(727) 518-6218
(727) 559-7868
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2459
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
05/30/2006
Last updated
04/25/2008
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