Provider Demographics
NPI:1417764713
Name:STRICKLAND, MARK CHRISTOPHER (APRN)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:CHRISTOPHER
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:APRN
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Mailing Address - Street 1:17020 SE 95TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:OCKLAWAHA
Mailing Address - State:FL
Mailing Address - Zip Code:32179-4500
Mailing Address - Country:US
Mailing Address - Phone:407-797-4155
Mailing Address - Fax:
Practice Address - Street 1:809 HIGHWAY 466 STE 101C
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-3909
Practice Address - Country:US
Practice Address - Phone:352-530-2256
Practice Address - Fax:352-315-0069
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11036750363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner