Individual
KASHAWN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2162 SE 27TH DR, GAINESVILLE, FL 32641-2018
(407) 684-9943
Mailing address
2162 SE 27TH DR, GAINESVILLE, FL 32641-2018
(407) 684-9943
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
A352-512-92-426-0
FL
347C00000X
Private Vehicle
Primary
A352-512-92-426-0
FL
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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