Herbello, Glenda
Herbello, Glenda is an individual health care provider with primary practice located at 1150 N 35Th Ave Ste 520 , Hollywood FL 33021-5431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Herbello, Glenda can be contacted via phone (954) 265-3500.Contact Information
Primary practice address
1150 N 35Th Ave Ste 520
Hollywood FL 33021-5431
Phone: (954) 265-3500
Fax: (954) 985-4230
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9101813 | Florida |
Profile Details
NPI number | 1669539052 |
---|---|
LBN Legal business name | Herbello, Glenda |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2007 |
Last updated | Apr 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669539052 | NPPES |
Florida | MEDICAID | 022322500 |
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