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

Dr. Glenn Keith Moran, DO, FACOFP

Individual provider Family Medicine Physician · NPI 1801850672

Dr. Glenn Keith Moran, DO, FACOFP is a Family Practice in Plantation, Florida. Qualified in 1988, 38 years ago. Practices with Vitalmd Group Holding LLC, a 532-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
38
Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

201 NW 82nd Ave
Plantation, FL 33324-1856
Phone: (954) 472-5100
Fax: (954) 472-5266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS5696 (FL)

Record details

NPI number1801850672
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , FACOFP
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3201 Sw 135th Ter, Davie, FL 33330-4647

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Vitalmd Group Holding Llc — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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