Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | CH7560 | FL |
NPI | 1528270949 |
---|---|
Provider Name | Dr. Karen Corcoran Mcglashan |
First Address | St Petersburg, FL 33707-2126 |
Second Address | St Petersburg, FL 33707-2126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2007 |
Last Update Date | 22/08/2019 |