person
Glenn Hernandez Derit, APRN
Family Nurse Practitioner in Leesburg, Florida
NPI 1619571726

Glenn Hernandez Derit is a Family Nurse Practitioner based in Leesburg, FL and is specialized in Family. Glenn Hernandez Derit practices in Leesburg, FL and has the professional credentials of APRN. The NPI Number for Glenn Hernandez Derit is 1619571726 and holds a License No. 11010307 (Florida).

The current practice location address for Glenn Hernandez Derit is 2201 Nicollett Way, Leesburg, FL and can be reached out via phone at 352-360-8635.

Location: 2201 Nicollett Way, Leesburg, FL, 34748-2945
person
Provider Profile Details
NPI Number
1619571726
Provider Name
Glenn Hernandez Derit
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
2201 Nicollett Way, Leesburg, FL, 34748-2945
Phone Number
352-360-8635
Fax Number
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 Nicollett Way
City
State
Zip
34748-2945
Phone Number
352-360-8635
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Nicollett Way
City
State
Zip
34748-2945
Phone Number
352-360-8635
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
11010307 (Florida)
Definition
Definition to come...
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