Individual
DR. P MARK GLENCROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MPH PA
Contact information
Practice address
3665 E BAY DR STE 204-22, LARGO, FL 33771-1990
(979) 393-0161
(866) 548-6451
Mailing address
5868 WESTHEIMER RD, #312, HOUSTON, TX 77057-5641
(904) 476-1723
(866) 548-6451
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
ME56612
FL
208100000X
Physical Medicine & Rehabilitation Physician
ME56612
FL
208100000X
Physical Medicine & Rehabilitation Physician
N9706
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
ME56612
FL
2083X0100X
Occupational Medicine Physician
Primary
ME56612
FL
2083X0100X
Occupational Medicine Physician
N9706
TX
Other
Enumeration date
07/22/2005
Last updated
12/20/2022
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