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

MR. GLENN COTTRILL

Active Sole Proprietor

MR. GLENN COTTRILL is a Durable Medical Equipment & Medical Supplies healthcare provider located in FT. WALTON BEACH, Florida. NPI 1396063772 is currently active in the NPPES registry. Verify at CMS.

Durable Medical Equipment & Medical Supplies · FT. WALTON BEACH, FL

Registration Details

NPI Number
1396063772
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2010 (16.307722560679 yrs)
Last Updated
Mar 31, 2017
License
POR31 (FL)
Sole Proprietor
Yes

Practice Information

Address
930 MAR WALT DR STE D
FT. WALTON BEACH, FL, 32547
Browse FL providers · Browse ZIP 32547
Phone
8508635959
Fax
8508635977
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.