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Henry Deloach II
Private Vehicle in Sunrise, Florida
NPI 1205356847

Henry Deloach II is a Private Vehicle based in Sunrise, FL. Henry Deloach II practices in Sunrise, FL. The NPI Number for Henry Deloach II is 1205356847 and holds a License No. D426390762180 (Florida).

The current practice location address for Henry Deloach II is 3667 Nw 94Th Ave, Sunrise, FL and can be reached out via phone at 754-702-7222.

Location: 3667 Nw 94Th Ave, Sunrise, FL, 33351-6460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205356847
Provider Name
Henry Deloach II
Credential
Provider Entity Type
Individual
Gender
Male
Address
3667 Nw 94Th Ave, Sunrise, FL, 33351-6460
Phone Number
754-702-7222
Fax Number
Provider Enumeration Date
06/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3667 Nw 94Th Ave
City
Sunrise
State
Florida
Zip
33351-6460
Phone Number
754-702-7222
Fax Number
person
Provider Business Mailing Address Details
Address
3667 Nw 94Th Ave
City
Sunrise
State
Florida
Zip
33351-6460
Phone Number
754-702-7222
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
D426390762180 (Florida)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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