IndividualActive
Angel Gaetan, OWNER
NPI 1205710118 · Driver · Coral Springs, FL
Provider details
- NPI number
- 1205710118
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Credential
- OWNER
- Sex
- Male
- Sole proprietor
- Yes
- License
- G225637380000 (FL)
Specialties & taxonomies
Other Service Providers
Practice location
10777 W Sample Rd Apt 208
Coral Springs, FL 33065-3768
Phone: (954) 793-0905
Approximate (ZIP-level) locationGet directions
Mailing address
10777 W Sample Rd Apt 208
Coral Springs, FL 33065-3768
Registry dates
- Enumerated
- 2025-08-04
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.