Individual
GLENN SYPERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2630
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 862810, ORLANDO, FL 32886-2810
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS4956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271835900
—
FL
01
—
82788
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/02/2006
Last updated
07/08/2007
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