NPI 1154681039

Candace Jordan Glenn, MD

Practitioner Dermatology Physician Gainesville, FL

Practice location

Address: 4037 NW 86th Ter Fl 4, Gainesville, FL 32606-9277
Phone: (352) 594-1500
Fax: (352) 594-1926

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence TRN17317 (FL)

Other Dermatology providers in Florida →

Registry record

NPI: 1154681039
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2012
Record last updated: 2 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.