MR. Mario Deon Ballantyne

NPI #1770008914 in Orlando, Florida

Provider Information

NPI Number: 1770008914
Entity Type: Individual
Name: MR. Mario Deon Ballantyne
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Transportation Broker
Enumeration Date: Aug 9, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 3945 ROSE OF SHARON DR
City: Orlando
State: Florida
ZIP Code: 32808-2738
Phone: (321) 279-1218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Transportation Broker	347E00000X	Primary

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