Individual
DR. MATTHEW U GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4612 N HABANA AVE, TAMPA, FL 33614-7101
(813) 875-9000
(813) 874-3278
Mailing address
PO BOX 743409, ATLANTA, GA 30374-3409
(727) 532-0002
(727) 532-1325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME39768
FL
207RC0000X
Cardiovascular Disease Physician
ME39768
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME39678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066476600
—
FL
01
—
P01316688
RAILROAD
FL
Enumeration date
06/23/2006
Last updated
06/01/2016
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