Candace Glenn (NPI# 1154681039, PAC ID# 9436387966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1154681039 |
| PAC ID by PECOS | 9436387966 |
| Professional Enrollment ID | I20160729001217 |
| Full Name | Candace Glenn |
| Organization Legal Name | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| Address |
4106 W Lake Mary Blvd Suite 324 Lake Mary FL 32746-3344 |
| Phone Number | 4072997333 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1254233786 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4106 W Lake Mary Blvd, Suite 324, Lake Mary, FL 32746-3344 | 4072997333 | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| Organization Legal Name | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Horta | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 4151 Hunters Park Ln, Suite 156, Orlando, FL 32837-3617 |
| Christina Morales | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 3021 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32934-7005 |
| Jessica Kailee White | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 519n Dixie Fwy, New Smyrna Beach, FL 32168-6707 |
| Darya Kyrylina | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 2650 W State Rd, Suite 434, Longwood, FL 32779-4815 |
| Jillian Morrison | Plastic and Reconstructive Surgery | Mid-florida Dermatology Associates P.a. | 802 Sterthaus Dr, Suite C, Ormond Beach, FL 32174-5132 |
| Brent Davin Hopson | Physician Assistant | Mid-florida Dermatology Associates P.a. | 3100 Us Hwy 1 S, Suite 4a, St Augustine, FL 32086-6310 |
| Cassie Robinson | Physician Assistant | Mid-florida Dermatology Associates P.a. | 132 Benmore Dr, Winter Park, FL 32792-4101 |
| Elizabeth Arnp Liskey | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 7652 Ashley Park Ct, Suite 305, Orlando, FL 32835-6199 |
| Mindy Ley | Physician Assistant | Mid-florida Dermatology Associates P.a. | 1325 S International Pkwy, Suite 2243, Lake Mary, FL 32746-1406 |
| Patricia Alexis Reed | Physician Assistant | Mid-florida Dermatology Associates P.a. | 6042 Magazine St, New Orleans, LA 70118-5871 |
| Street Address |
4106 W LAKE MARY BLVD SUITE 324 |
| City | LAKE MARY |
| State | FL |
| Zip | 32746-3344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin L Rahm | General Surgery | 4106 W Lake Mary Blvd, Suite 213, Lake Mary, FL 32746-2403 | |
| John F. Ryan | Internal Medicine | Florida Internal Medicine Pa | 4106 W Lake Mary Blvd, Suite 301, Lake Mary, FL 32746-3344 |
| Jesse Wayne Johnson Jr. | Internal Medicine | Heathrow Internal Medicine LLC | 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3344 |
| Colleen M Mcgovern | Nurse Practitioner | Central Florida Cardiology Group Pa | 4106 W Lake Mary Blvd, Suite 312, Lake Mary, FL 32746-3344 |
| Michelle A Cooley | Nurse Practitioner | Heathrow Internal Medicine LLC | 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3344 |
| Charles N Witten | Urology | Central Florida Urology Associates | 4106 W Lake Mary Blvd, Suite 215, Lake Mary, FL 32746-3344 |
| Brian K Dublin | Cardiovascular Disease (cardiology) | Central Florida Cardiology Group Pa | 4106 W Lake Mary Blvd, Suite 312, Lake Mary, FL 32746-3344 |
| David Jason Hancock | Podiatry | Timothy P Mason Dpm Pa | 4106 W Lake Mary Blvd, Suite 125, Lake Mary, FL 32746-3383 |
| Elena M Gabor | Internal Medicine | Heathrow Internal Medicine LLC | 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3344 |
| Vikram Prakash Mehta | Hand Surgery | 4106 W Lake Mary Blvd, Suite 224, Lake Mary, FL 32746-2403 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilberto L Lopez | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Carlos P Grullon | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Lawrence E Vallario | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Mulugeta Fissha | Interventional Cardiology | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| William J David | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Stephen M Reed | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
| Benjamin Golden Thomasson | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
| Robert Frances Love | Optometry | 1331 S International Pkwy, Suite 1271, Lake Mary, FL 32746-1405 | |
| Jorge O Diaz | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
| Rafael E Pena | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
| Find all physicians in zip 32746 | |||
| City | LAKE MARY |
| Zip Code | 32746 |
| Specialty | DERMATOLOGY |
| City + Specialty | LAKE MARY + DERMATOLOGY |
Please comment or provide details below to improve the information on Candace Glenn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.