Glowu Holdings

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GLOWU HOLDINGS

Practice address

141 NW 20TH St
Boca Raton, FL 33431-7966

Phone

(267) 969-1493

NPI assigned

Jan 30, 2024

Last updated

Feb 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Willis, MD

Title

Medical

Phone

(754) 242-1876

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1346002763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 NW 20TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317966",
            "telephone_number": "267-969-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 NW 20TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317966",
            "telephone_number": "267-969-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOWU HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEDICAL",
        "authorized_official_telephone_number": "754-242-1876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sherildan Glynn, ARNP
• Taryn Ann Glynn, PT, DPT

• Health Service Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.