Provider Demographics
NPI:1750061974
Name:GLEICHOWSKI, ROSEMARIE REEVES (NBH-WC)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:REEVES
Last Name:GLEICHOWSKI
Suffix:
Gender:F
Credentials:NBH-WC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 SW 76TH ST STE 130
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-0346
Mailing Address - Country:US
Mailing Address - Phone:352-246-6273
Mailing Address - Fax:352-327-4120
Practice Address - Street 1:2550 SW 76TH ST STE 130
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-0346
Practice Address - Country:US
Practice Address - Phone:352-246-6273
Practice Address - Fax:352-327-4120
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3769569171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach