Individual
JAMES D GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1781 GARDEN ST, TITUSVILLE, FL 32796-3221
(321) 269-4300
(321) 269-7755
Mailing address
1781 GARDEN ST, TITUSVILLE, FL 32796-3221
(321) 269-4300
(321) 269-7755
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0050190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046402300
—
FL
Enumeration date
02/06/2006
Last updated
09/09/2015
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