Reginald Pernell

NPI #1922655885 in Deltona, Florida

Provider Information

NPI Number: 1922655885
Entity Type: Individual
Name: Reginald Pernell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Aug 23, 2019
Last Updated: Aug 23, 2019

Practice Location

Address: 1650 HOWLAND BLVD
City: Deltona
State: Florida
ZIP Code: 32738-5318
Phone: (352) 364-3475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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