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QUINTON DEANGELO BROXEY

>> Non-emergency Medical Transport (VAN) >> Transportation Services

Registrant NPI Number: 1750848511

Individual Registrant:
 QUINTON DEANGELO BROXEY 
Gender: M
Sole Proprietor

Location and contact information for practice:
614 HAWKINS ST SW  LIVE OAK, FL 32064-4007 US
Tel: 407-340-7184  Fax: --

Contact information for business:
614 HAWKINS ST SW  LIVE OAK, FL 32064-4007 US
Tel: 407-340-7184  Fax: --

Registration Information:
NPI: 1750848511
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y343900000XTransportation Services
Non-emergency Medical Transport (VAN)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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