Organization
FL MOBILE MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN GANDELMAN MD (OWNER)
(917) 477-9028
Entity
Organization
Contact information
Practice address
4033 TAMPA RD STE 100, OLDSMAR, FL 34677-3224
(203) 869-5515
(203) 869-5765
Mailing address
81 HOLLY HILL LN FL 3, GREENWICH, CT 06830-2945
(203) 869-5515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
07/01/2024
Last updated
08/23/2024
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