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Dr. Glenn Immanuel Kolluri, ME87511
Neurology Physician in Stuart, Florida
NPI 1780622480

Glenn Immanuel Kolluri is a Neurology Physician based in Stuart, FL and is specialized in Neurology. Glenn Immanuel Kolluri practices in Stuart, FL and has the professional credentials of ME87511. The NPI Number for Glenn Immanuel Kolluri is 1780622480 and holds a License No. ME87511 (Florida).

The current practice location address for Glenn Immanuel Kolluri is 200 Se Hospital Ave, Stuart, FL and can be reached out via phone at 772-223-5618 and via fax at 772-223-5646.

Location: 200 Se Hospital Ave, Stuart, FL, 34995-0417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780622480
Provider Name
Glenn Immanuel Kolluri
Credential
ME87511
Provider Entity Type
Individual
Gender
Male
Address
200 Se Hospital Ave, Stuart, FL, 34995-0417
Phone Number
772-223-5618
Fax Number
772-223-5646
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2674904-00 05 FL
institution
Provider Business Practice Location Address Details
Address
200 Se Hospital Ave
City
Stuart
State
Florida
Zip
34994-2346
Phone Number
772-223-5618
Fax Number
772-223-5646
person
Provider Business Mailing Address Details
Address
200 Se Hospital Ave
City
Stuart
State
Florida
Zip
34994-2346
Phone Number
772-223-5618
Fax Number
772-223-5646
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
ME87511 (Florida)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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