Glenn Steven Avidon, M.D. Valid NPI

Individual provider · Anesthesiology Physician · Deland, FL

NPI

1124138292

Type

Individual (Type 1)

Primary specialty

Anesthesiology Physician (Anesthesiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207L00000X

License number

ME 40282 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-30

Last updated

2024-04-11