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Mr. Mario Deon Ballantyne
Transportation Broker in Orlando, Florida
NPI 1770008914

Mario Deon Ballantyne is a Transportation Broker based in Orlando, FL. Mario Deon Ballantyne practices in Orlando, FL. The NPI Number for Mario Deon Ballantyne is 1770008914 and holds a License No. B453544754290 (Florida).

The current practice location address for Mario Deon Ballantyne is 3945 Rose Of Sharon Dr, Orlando, FL and can be reached out via phone at 321-279-1218 and via fax at 407-704-4464.

Location: 3945 Rose Of Sharon Dr, Orlando, FL, 32808-2738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770008914
Provider Name
Mario Deon Ballantyne
Credential
Provider Entity Type
Individual
Gender
Male
Address
3945 Rose Of Sharon Dr, Orlando, FL, 32808-2738
Phone Number
321-279-1218
Fax Number
407-704-4464
Provider Enumeration Date
08/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81-0683776 01 FL IRS
institution
Provider Business Practice Location Address Details
Address
3945 Rose Of Sharon Dr
City
Orlando
State
Florida
Zip
32808-2738
Phone Number
321-279-1218
Fax Number
407-704-4464
person
Provider Business Mailing Address Details
Address
3945 Rose Of Sharon Dr
City
Orlando
State
Florida
Zip
32808-2738
Phone Number
321-279-1218
Fax Number
407-704-4464
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
B453544754290 (Florida)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
347E00000X
License No.
B453544754290 (Florida)
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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