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Richard Lee Colonel
Driver in Hawthorne, Florida
NPI 1033589429

Richard Lee Colonel is a Driver based in Hawthorne, FL. Richard Lee Colonel practices in Hawthorne, FL. The NPI Number for Richard Lee Colonel is 1033589429 and holds a License No. C454752523700 (Florida).

The current practice location address for Richard Lee Colonel is 143 Melrose Landing Dr, Hawthorne, FL and can be reached out via phone at 352-642-5085 and via fax at 877-481-8035.

Location: 143 Melrose Landing Dr, Hawthorne, FL, 32640-0571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033589429
Provider Name
Richard Lee Colonel
Credential
Provider Entity Type
Individual
Gender
Male
Address
143 Melrose Landing Dr, Hawthorne, FL, 32640-0571
Phone Number
352-642-5085
Fax Number
877-481-8035
Provider Enumeration Date
09/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
143 Melrose Landing Dr
City
Hawthorne
State
Florida
Zip
32640-4417
Phone Number
352-642-5085
Fax Number
877-481-8035
person
Provider Business Mailing Address Details
Address
143 Melrose Landing Dr
City
Hawthorne
State
Florida
Zip
32640-4417
Phone Number
352-642-5085
Fax Number
877-481-8035
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
C454752523700 (Florida)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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