Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN RANDOLPH GAFFNEY, LMT
Active Sole ProprietorGLENN RANDOLPH GAFFNEY, LMT is a Contractor healthcare provider located in ST AUGUSTINE, Florida. NPI 1871617340 is currently active in the NPPES registry. Verify at CMS.
Contractor · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1871617340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2007 (19.425497390291 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA002007 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2225 A1A SSUITE B-1ST AUGUSTINE, FL, 320802916Browse FL providers · Browse ZIP 32080
- Phone
- 9044619901
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| NANCY ANN VAIL | LMT | 1912213992 |
| FRANI HEILMAN | LMT | 1437468683 |
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.