Nieves, Glenda Marie

Nieves, Glenda Marie is an individual health care provider with primary practice located at 1931 S Narcoossee Rd , Saint Cloud FL 34771-7211. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Nieves, Glenda Marie can be contacted via phone (407) 986-9642.

Contact Information

Primary practice address
1931 S Narcoossee Rd Saint Cloud FL 34771-7211
Fax: (407) 593-6102
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN799 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16,898 Puerto Rico

Profile Details

NPI number 1538355060
LBN Legal business name Nieves, Glenda Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated May 29th, 2024 - about 6 months 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 1538355060 NPPES
Florida Other ACN799 STATE LICENSE
Florida Other 1538355060 STATE LICENSE

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