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Provider Information for 1326684671


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ERNEST STRAIN MA


Sex: Male

NPI: 1326684671
Last Updated: 2019-11-21
Certification Date:

Details

NameValue
NPI1326684671
Enumeration Date2019-11-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 547 HOLLOWAY SHORES DR
LAKELAND, FL 33801-6089
United States

Phone: | Fax:
 
Primary Practice Address 612 E COLONIAL DR
ORLANDO, FL 32803-4650
United States

Phone: 407-504-1869 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLIMH16455