MR. DEWAYNE OCTAVIAN INGRAM
NPI 1689398349
Driver in Orlando, FL
Active since September 27, 2022
About Mr. Dewayne Octavian Ingram NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DEWAYNE OCTAVIAN INGRAM (NPI 1689398349) is an individual driver provider in Orlando, Florida and active in the NPI registry since September 2022.
NPPES Registry Identity
NPI1689398349
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameMR. DEWAYNE OCTAVIAN INGRAM
Location Address2739 WILLOWGATE AVEOrlando, FL 32822-4185
Mailing Address2739 Willowgate AveOrlando, FL 32822-4185 · (321) 280-0107
Phone(321) 280-0107
Sole ProprietorNo
Enumeration DateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
✔ NPI 1689398349 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
2739 WILLOWGATE AVE, Orlando, FL 32822
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689398349, enumerated as an "individual" on September 27, 2022.
The provider is located at 2739 WILLOWGATE AVE ORLANDO, FL 32822 and the phone number is (321) 280-0107.
Driver with taxonomy code 172A00000X.
