Dr. Glenn a. Pfaff

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR. GLENN A. PFAFF

Practice address

7300 Sandlake Commons Blvd Ste 315
Orlando, FL 32819-8011

Phone

(407) 352-1588

Fax

(407) 352-9823

NPI assigned

Nov 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn Albin Pfaff, M.D.NPI 1093810780

Title

Physician

Phone

(407) 352-1588

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn A Pfaff, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1093810780
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1104222769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD STE 315",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198011",
            "telephone_number": "407-352-1588",
            "fax_number": "407-352-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD STE 315",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198011",
            "telephone_number": "407-352-1588",
            "fax_number": "407-352-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GLENN A. PFAFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALBIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-352-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47388",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.