Individual
GLENDA LANDSKRONER-BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-2710
(813) 745-6855
Mailing address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-2710
(813) 745-6855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1652742
FL
Other
Enumeration date
09/04/2007
Last updated
06/16/2014
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