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Glenn Phagan, MD
Specialist in Hollywood, Florida
NPI 1518921378

Glenn Phagan is a Specialist based in Hollywood, FL. Glenn Phagan practices in Hollywood, FL and has the professional credentials of MD. The NPI Number for Glenn Phagan is 1518921378 and holds a License No. ME74781 (Florida).

The current practice location address for Glenn Phagan is 1150 N 35Th Ave, Hollywood, FL and can be reached out via phone at 954-265-6989 and via fax at 954-965-3599. You can also correspond with Glenn Phagan through the mailing address at 1150 N 35TH AVE, HOLLYWOOD, FL - 33021-5424 (mailing address contact number: 954-265-6989).

Location: 1150 N 35Th Ave, Hollywood, FL, 33021-5424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518921378
Provider Name
Glenn Phagan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1150 N 35Th Ave, Hollywood, FL, 33021-5424
Phone Number
954-265-6989
Fax Number
954-965-3599
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1150 N 35Th Ave
City
Hollywood
State
Florida
Zip
33021-5424
Phone Number
954-265-6989
Fax Number
954-965-3599
person
Provider Business Mailing Address Details
Address
1150 N 35Th Ave
City
Hollywood
State
Florida
Zip
33021-5424
Phone Number
954-265-6989
Fax Number
954-965-3599
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME74781 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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