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CANDACE JORDAN GLENN M.D. NPI 1154681039


NPI Information

NPI: 1154681039
Provider Name: CANDACE JORDAN GLENN, M.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual
Organization: MID-FLORIDA DERMATOLOGY ASSOCIATES PA

PECOS Registration: Yes

Address:
4037 NW 86TH TER FL 4
GAINESVILLE, FL
ZIP 32606
Phone: (352) 594-1500
Get Directions

Candace Jordan Glenn, M.D. is a dermatology in Gainesville, FL with 12 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Candace Jordan Glenn, M.D. NPI is 1154681039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

4037 NW 86TH TER FL 4
GAINESVILLE, FL
ZIP 32606-277
Phone: (352) 594-1500
Fax: (352) 594-1926

The NPI 1154681039 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 1/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyTRN17317FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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