Antonio Raven
NPI #1104569771 in Gainesville, Florida
Provider Information
- NPI Number
- 1104569771
- Entity Type
- Individual
- Name
- Antonio Raven
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Apr 20, 2022
- Last Updated
- Apr 20, 2022
Practice Location
- Address
- 4700 SW ARCHER RD APT V153
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32608-3890
- Phone
- (305) 492-8883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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|---|---|
| Kashawn Adams | |
| Latasha Johnson | |
| Edward Cochran |
Organizations
| Provider Name | |
|---|---|
| Gates Transportation, INC Part of Grace & Favor Group Home, INC | |
| Association for Retarded Citizens |
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