person
Mr. Corey Bernard Graham SR.
Driver in Pahokee, Florida
NPI 1881320398

Corey Bernard Graham SR. is a Driver based in Pahokee, FL. Corey Bernard Graham SR. practices in Pahokee, FL. The NPI Number for Corey Bernard Graham SR. is 1881320398 and holds a License No. (Florida).

The current practice location address for Corey Bernard Graham SR. is 850 Palm Blvd, Pahokee, FL and can be reached out via phone at 561-723-1150.

Location: 850 Palm Blvd, Pahokee, FL, 33476-2519
person
Provider Profile Details
NPI Number
1881320398
Provider Name
Corey Bernard Graham SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
850 Palm Blvd, Pahokee, FL, 33476-2519
Phone Number
561-723-1150
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
082956667 01 FL DUNN NUMBER
institution
Provider Business Practice Location Address Details
Address
850 Palm Blvd
City
State
Zip
33476-2519
Phone Number
561-723-1150
Fax Number
person
Provider Business Mailing Address Details
Address
850 Palm Blvd
City
State
Zip
33476-2519
Phone Number
561-723-1150
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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