Individual
DR. GLEN E VANDER ZALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3885 OAKWATER CIR, ORLANDO, FL 32806-6257
(407) 851-5600
(407) 438-9585
Mailing address
3885 OAKWATER CIR, ORLANDO, FL 32806-6257
(470) 851-5600
(407) 438-9585
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME91815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271650000
—
FL
01
—
3743151
AETNA
FL
01
—
61788
BC/BS
FL
Enumeration date
02/22/2006
Last updated
03/24/2011
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