NPI 1104569771

Antonio Raven

Practitioner Private Vehicle Gainesville, FL

Practice location

Address: 4700 SW Archer Rd APT V153, Gainesville, FL 32608-3890
Phone: (305) 492-8883

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1104569771
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2022
Record last updated: 20 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.