Individual provider · NPI-1

Ivan Drummer

Technician, Other · Lakeland, FL

NPI number1720836596
StatusActive
Last updated in NPPESMay 8, 2024

Details

NPI
1720836596
Entity type
Individual (NPI-1)
Name
Ivan Drummer
Sex
Male
Sole proprietor
No
Enumeration date
May 8, 2024
Certification date
May 8, 2024
Last updated
May 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

5118 Garberia Ave
Lakeland, FL 33811-1571

Phone 347-245-3160

Mailing address

4313 S Florida Ave # 1148
Lakeland, FL 33813-1654

Phone 813-394-2869

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