Provider Demographics
NPI:1417164039
Name:RINGEL, GLENN ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:ROBERT
Last Name:RINGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9725 CHESTNUT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-8945
Mailing Address - Country:US
Mailing Address - Phone:407-909-1506
Mailing Address - Fax:407-000-0000
Practice Address - Street 1:9725 CHESTNUT RIDGE DR
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-8945
Practice Address - Country:US
Practice Address - Phone:407-909-1506
Practice Address - Fax:407-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME84850208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics