| NPI | 1396769725 |
|---|---|
| Doing Business As | GLENN GIDSEG |
| Entity Type | Organization |
| Authorized Contact | GLENN GIDSEG President 954-363-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-09-26 |