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Individual

DR. GLENDA Y BUYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1806 PLANTATION LLC, PLANTATION, FL 33322
(954) 474-0110
(954) 424-9859
Mailing address
1806 PLANTATION LLC, PLANTATION, FL 33322
(954) 474-0110
(954) 424-9859

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-435548
PA
207Q00000X
Family Medicine Physician
ME125015
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102276923
PA
Enumeration date
05/09/2008
Last updated
07/14/2021
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