Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glen Michael Palmisano, DC

Individual provider Chiropractor · NPI 1255360855

Dr. Glen Michael Palmisano, DC is a Chiropractor in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Connecticut and Florida.

Licensed in
CT, FL
In the registry since
2006
Specialties on file
4
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

633 Landshark Blvd
Daytona Beach, FL 32124-3727
Phone: (860) 585-9797
Fax: (860) 589-9002
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Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence 5711 (FL)
Chiropractor Taxonomy 111N00000X · Licence CH5911 (FL)
Chiropractor Taxonomy 111N00000X · Licence 000681 (CT)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 000681 (CT)

Record details

NPI number1255360855
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address633 Landshark Blvd, Daytona Beach, FL 32124-3727

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