Moran, Glenn Keith

Moran, Glenn Keith is an individual health care provider with primary practice located at 201 Nw 82Nd Ave , Plantation FL 33324-1856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moran, Glenn Keith can be contacted via phone (954) 472-5100.

Contact Information

Primary practice address
201 Nw 82Nd Ave Plantation FL 33324-1856
Phone: (954) 472-5100
Fax: (954) 472-5266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS5696 Florida

Profile Details

NPI number 1801850672
LBN Legal business name Moran, Glenn Keith
Credentials DO,FACOFP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801850672 NPPES
Florida Other 80509 BLUE CROSS BLUE SHIELD
Florida Other 971681 BLUE CROSS BLUE SHIELD

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