MEDICARE: DAVID GLENN STRICKLAND NBC-WHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach	A-3267301
2	1710I1002X	Independent Duty Corpsman

General Provider Information

NPI Number	:	1013970946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID GLENN STRICKLAND NBC-WHC

Provider Business Mailing Address
First Line	:	3200 CITRUS TOWER BLVD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-7012
Country	:	US
Telephone Number	:	352-536-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 CITRUS TOWER BLVD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-7012
Country	:	US
Telephone Number	:	352-536-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	12/08/2021

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