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

Glenn M Little Jr., PA

Individual provider Physician Assistant · NPI 1396727152

Glenn M Little Jr., PA is a Physician Assistant in Temple Terrace, Florida. Qualified in 2005, 21 years ago. Practices with Tampa General Medical Group Inc, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11420 N 56th St
Temple Terrace, FL 33617-2237
Phone: (813) 971-3136
Fax: (813) 910-3569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111517 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1396727152
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 17, 2005
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Tampa General Medical Group Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Temple Terrace