NPI 1528699683

Lelon W Vencil

Practitioner Private Vehicle Jacksonville, FL

Practice location

Address: 5570 Connie Jean Rd Lot 6, Jacksonville, FL 32222-1037
Phone: (904) 416-8411

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence V524539902190 (FL)

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Registry record

NPI: 1528699683
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2020
Record last updated: 28 Jan 2020

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.