Individual
MICHELLE GLOWACKI HARTOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4355 BEAR GULLY RD, WINTER PARK, FL 32792-9422
(407) 678-3116
(407) 678-3822
Mailing address
4355 BEAR GULLY RD, WINTER PARK, FL 32792-9422
(407) 678-3116
(407) 678-3822
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP1366752
FL
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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