Individual
DR. GLENN EDWARD GROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912-4705
(239) 936-2316
(239) 936-3099
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 936-3099
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A115605
CA
2085R0202X
Diagnostic Radiology Physician
Primary
ME125326
FL
Other
Enumeration date
06/11/2007
Last updated
01/05/2024
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