GLORY MEDCLINIC, LLC is a health service clinic center in Tampa, FL. GLORY MEDCLINIC, LLC NPI is 1427472364. The provider is registered as an organization entity type.
The provider's business location address is:
8019 N HIMES AVE
SUITE 200
TAMPA, FL
ZIP 33614-712
Phone: (813) 932-9798
Fax: (813) 935-5178
The provider's authorized official is David Omotayo Ikudayisi .
The authorized official title is President and has the following contact phone number (813) 932-9798.
The CLIA number assigned to this NPI record is 10D1083888 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/12/2014 and was last updated on 2/12/2014.