Provider Demographics
NPI:1013970946
Name:STRICKLAND, DAVID GLENN (NBC-WHC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:GLENN
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:NBC-WHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 CITRUS TOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-7012
Mailing Address - Country:US
Mailing Address - Phone:352-536-8200
Mailing Address - Fax:
Practice Address - Street 1:3200 CITRUS TOWER BLVD
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-7012
Practice Address - Country:US
Practice Address - Phone:352-536-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3267301
1710I1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman