Individual
DR. GLENN DYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 N SEMORAN BLVD STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246
Mailing address
483 N SEMORAN BLVD STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
257477
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001909700
—
FL
Enumeration date
05/12/2009
Last updated
06/21/2021
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