IndividualActive
Antonio Raven
NPI 1104569771 · Private Vehicle · Gainesville, FL
Provider details
- NPI number
- 1104569771
- Entity type
- Individual
- Primary specialty
- Private VehicleTransportation Services
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Transportation Services
Practice location
4700 Sw Archer Rd Apt V153
Gainesville, FL 32608-3890
Phone: (305) 492-8883
Approximate (ZIP-level) locationGet directions
Mailing address
4700 Sw Archer Rd Apt V153
Gainesville, FL 32608-3890
Registry dates
- Enumerated
- 2022-04-20
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.