Individual ProviderDana GlennFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address13000 Bruce B Downs Blvd, 11wv, Tampa, FL 33612-4745(813) 972-2000PECOS EnrollmentBased on the most recent information from CMS, provider Dana Glenn is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1437126893Provider TypeIndividualFull NameGlenn, DanaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/3/2006Last Updated7/16/2007Contact InformationPractice LocationPractice Address13000 Bruce B Downs Blvd, 11wv, Tampa, FL 33612-4745Phone(813) 972-2000FaxUnlisted FaxMailing LocationMailing Address13000 Bruce B Downs Blvd, 11wv, Tampa, FL 33612-4745Phone(813) 972-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME0067808Florida