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Shannon Glenn-otto, MD
Student in an Organized Health Care Education/Training Program in St Petersburg, Florida
NPI 1225525009

Shannon Glenn-otto is a Student in an Organized Health Care Education/Training Program based in St Petersburg, FL. Shannon Glenn-otto practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Shannon Glenn-otto is 1225525009 and holds a License No. (Florida).

The current practice location address for Shannon Glenn-otto is 501 6Th Ave S, St Petersburg, FL and can be reached out via phone at 727-767-4106 and via fax at 727-767-8804.

Location: 501 6Th Ave S, St Petersburg, FL, 33701-4634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225525009
Provider Name
Shannon Glenn-otto
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
501 6Th Ave S, St Petersburg, FL, 33701-4634
Phone Number
727-767-4106
Fax Number
727-767-8804
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 6Th Ave S
City
St Petersburg
State
Florida
Zip
33701-4634
Phone Number
727-767-4106
Fax Number
727-767-8804
person
Provider Business Mailing Address Details
Address
501 6Th Ave S
City
St Petersburg
State
Florida
Zip
33701-4634
Phone Number
727-767-4106
Fax Number
727-767-8804
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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