John Reid
Driver in Jacksonville, FL. Individual provider (NPI-1).
NPI number1043781495
StatusActive
Last updated in NPPESDec 11, 2018
Details
- NPI
- 1043781495
- Entity type
- Individual (NPI-1)
- Name
- John Reid
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2018
- Last updated
- Dec 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | R300478613700 | FL | Yes |
Practice location
9439 San Jose Blvd Apt 76Jacksonville, FL 32257-5523
Phone 904-426-2833
Mailing address
9439 San Jose Blvd Apt 76Jacksonville, FL 32257-5523
Phone 904-426-2833
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