Cooreman, Glenn

Cooreman, Glenn is an individual health care provider with primary practice located at 2805 Overseas Hwy , Marathon FL 33050-2239. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cooreman, Glenn can be contacted via phone (786) 743-4000.

Contact Information

Primary practice address
2805 Overseas Hwy Marathon FL 33050-2239
Phone: (786) 743-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS16234 Florida

Profile Details

NPI number 1871032300
LBN Legal business name Cooreman, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2017
Last updated May 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871032300 NPPES
Florida MEDICAID 107117400

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