OrganizationActive
Ten Broeck Tennessee Physicians Group Inc
NPI 1639599582 · Behavioral Neurology & Neuropsychiatry Physician · Windermere, FL
Provider details
- NPI number
- 1639599582
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glenda Guy, Director, Compliance(931) 607-6513
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
603 Main St
Windermere, FL 34786-3548
Phone: (407) 876-2200
Fax: (407) 876-5959
Approximate (ZIP-level) locationGet directions
Mailing address
603 Main St
Windermere, FL 34786-3548
Registry dates
- Enumerated
- 2014-04-18
- Last updated
- 2021-02-22
- Certified
- 2021-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.