Provider Demographics
NPI:1508859299
Name:GONZALEZ-COUVERTIER, GLENDA E (MD)
Entity type:Individual
Prefix:DR
First Name:GLENDA
Middle Name:E
Last Name:GONZALEZ-COUVERTIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GLENDA
Other - Middle Name:E
Other - Last Name:GONZALEZ-CORTES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:109 TIMBERLACHEN CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3395
Mailing Address - Country:US
Mailing Address - Phone:407-333-9877
Mailing Address - Fax:407-333-9881
Practice Address - Street 1:109 TIMBERLACHEN CIR
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3395
Practice Address - Country:US
Practice Address - Phone:407-333-9877
Practice Address - Fax:407-333-9881
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0076730207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267999000Medicaid
FL267999000Medicaid
G32727Medicare UPIN