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Individual

DR. GLENN MICHAEL CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
200 GLADES RD, SUITE #2, BOCA RATON, FL 33432-1420
(561) 395-5544
(561) 395-5153
Mailing address
200 GLADES RD, SUITE #2, BOCA RATON, FL 33432-1420
(561) 395-5544
(561) 395-5153

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS7201
FL

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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