Healthcare Provider Details

I. General information

NPI: 1073656203
Provider Name (Legal Business Name): GLENN DAVID TURNER ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3302 W BAKER ST
PLANT CITY FL
33563-2851
US

IV. Provider business mailing address

1411 ELSA GALE LN
VALRICO FL
33594-2915
US

V. Phone/Fax

Practice location:
  • Phone: 813-752-1336
  • Fax: 813-754-6914
Mailing address:
  • Phone: 813-445-7194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3209212
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: