Individual provider · Type 1 NPI

Antonio Raven

Private Vehicle · Gainesville, FL

NPI number 1104569771 Active

Practice location

4700 SW Archer Rd Apt V153
Gainesville, FL 32608-3890

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1104569771

Antonio Raven's National Provider Identifier is 1104569771, issued on Apr 20, 2022. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Gainesville, FL. The record was last updated on Apr 20, 2022.