Individual
DR. GLENN D. ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 S OSPREY AVE, SARASOTA, FL 34239-2929
(941) 917-8772
(941) 365-7057
Mailing address
4411 BEE RIDGE RD, SUITE 440, SARASOTA, FL 34233-2514
(941) 917-8772
(941) 365-7057
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME44375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069755900
—
FL
01
—
202858219
TAX ID
FL
01
—
30723
BCBS
FL
Enumeration date
09/08/2005
Last updated
05/13/2010
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