Provider Demographics
NPI:1275790172
Name:GLENDA'S PERFECT FIT INC.
Entity Type:Organization
Organization Name:GLENDA'S PERFECT FIT INC.
Other - Org Name:A PERFECT FIT,
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CONANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-518-6218
Mailing Address - Street 1:800 E BAY DR
Mailing Address - Street 2:STE B
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2553
Mailing Address - Country:US
Mailing Address - Phone:727-518-6218
Mailing Address - Fax:
Practice Address - Street 1:800 E BAY DR
Practice Address - Street 2:STE B
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2553
Practice Address - Country:US
Practice Address - Phone:727-518-6218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM2459OtherBCBS
FL6067550001Medicare NSC