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Reginald Pernell
Driver in Deltona, Florida
NPI 1922655885

Reginald Pernell is a Driver based in Deltona, FL. Reginald Pernell practices in Deltona, FL. The NPI Number for Reginald Pernell is 1922655885 and holds a License No. P654-733-64--144-0 (Florida).

The current practice location address for Reginald Pernell is 1650 Howland Blvd, Deltona, FL and can be reached out via phone at 352-364-3475.

Location: 1650 Howland Blvd, Deltona, FL, 32738-5318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922655885
Provider Name
Reginald Pernell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1650 Howland Blvd, Deltona, FL, 32738-5318
Phone Number
352-364-3475
Fax Number
Provider Enumeration Date
08/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1650 Howland Blvd
City
Deltona
State
Florida
Zip
32738-5318
Phone Number
352-364-3475
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Howland Blvd
City
Deltona
State
Florida
Zip
32738-5318
Phone Number
352-364-3475
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
P654-733-64--144-0 (Florida)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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