Juan Nabong
Non-emergency Medical Transport (VAN) in Orlando, FL. Individual provider (NPI-1).
NPI number1215744891
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1215744891
- Entity type
- Individual (NPI-1)
- Name
- Juan Nabong
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2024
- Certification date
- Dec 16, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | 3101-1116740 | FL | Yes |
Practice location
2605 Wembleycross WayOrlando, FL 32828-7964
Phone 407-810-1585
Mailing address
2605 Wembleycross WayOrlando, FL 32828-7964
Phone 407-810-1585
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