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Antonio Raven
Private Vehicle in Gainesville, Florida
NPI 1104569771

Antonio Raven is a Private Vehicle based in Gainesville, FL. Antonio Raven practices in Gainesville, FL. The NPI Number for Antonio Raven is 1104569771 and holds a License No. (Florida).

The current practice location address for Antonio Raven is 4700 Sw Archer Rd Apt V153, Gainesville, FL and can be reached out via phone at 305-492-8883.

Location: 4700 Sw Archer Rd Apt V153, Gainesville, FL, 32608-3890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104569771
Provider Name
Antonio Raven
Credential
Provider Entity Type
Individual
Gender
Male
Address
4700 Sw Archer Rd Apt V153, Gainesville, FL, 32608-3890
Phone Number
305-492-8883
Fax Number
Provider Enumeration Date
04/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4700 Sw Archer Rd Apt V153
City
Gainesville
State
Florida
Zip
32608-3890
Phone Number
305-492-8883
Fax Number
person
Provider Business Mailing Address Details
Address
4700 Sw Archer Rd Apt V153
City
Gainesville
State
Florida
Zip
32608-3890
Phone Number
305-492-8883
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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