Healthcare Provider Details

I. General information

NPI: 1255311973
Provider Name (Legal Business Name): GLENDA DAY-CUMMINGS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 SW 75TH AVE
MIAMI FL
33155-2805
US

IV. Provider business mailing address

PO BOX 144322
CORAL GABLES FL
33114-4322
US

V. Phone/Fax

Practice location:
  • Phone: 305-264-5252
  • Fax:
Mailing address:
  • Phone: 305-774-1208
  • Fax: 305-442-6777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME0064598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: