Individual
GLENN CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7655
Mailing address
5476 97TH WAY N, SAINT PETERSBURG, FL 33708-3409
(727) 415-9504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9280936
FL
Other
Enumeration date
12/29/2012
Last updated
12/29/2012
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