Individual
GLENN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441 MBC-MMG, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001022
NY
Other
Enumeration date
07/21/2006
Last updated
12/11/2023
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