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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLEN MICHAEL PALMISANO, DC

Active Sole Proprietor

DR. GLEN MICHAEL PALMISANO, DC is a Rehabilitation (Chiropractor) healthcare provider located in DAYTONA BEACH, Florida. NPI 1255360855 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation (Chiropractor) · DAYTONA BEACH, FL

Registration Details

NPI Number
1255360855
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2006 (20.16058981437 yrs)
Last Updated
Nov 1, 2024
Licenses
CH5911 (FL)
000681 (CT)
000681 (CT)
5711 (FL)
Sole Proprietor
Yes

Practice Information

Address
633 LANDSHARK BLVD
DAYTONA BEACH, FL, 321243727
Browse FL providers · Browse ZIP 32124
Phone
8605859797
Fax
8605899002
Primary Specialty
Rehabilitation (Chiropractor)
111NR0400X
Additional Specialty
Chiropractor
Additional Specialty
Rehabilitation (Chiropractor)
Additional Specialty
Rehabilitation (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.