Individual provider · Type 1 NPI

Angel Manuel Gaetan, OWNER

Driver · Coral Springs, FL

NPI number 1205710118 Active

Practice location

10777 W Sample Rd Apt 208
Coral Springs, FL 33065-3768

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XG225637380000 (FL)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1205710118

Angel Manuel Gaetan, OWNER's National Provider Identifier is 1205710118, issued on Aug 4, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Coral Springs, FL. The record was last updated on Aug 4, 2025.