Individual
GLENNAL VERBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12440 CORTEZ BLVD, BROOKSVILLE, FL 34613-2628
(352) 952-4250
Mailing address
PO BOX 10183, BROOKSVILLE, FL 34603-0183
(850) 377-2820
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME107359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03081893
—
MS
Enumeration date
06/03/2006
Last updated
07/29/2019
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