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Glenn Bryan
NPI 1952922270 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4255 N Us Highway 1
Melbourne, FL 32935 - Phone
- (321) 543-0379
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida