Individual
JUAN NABONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2605 WEMBLEYCROSS WAY, ORLANDO, FL 32828-7964
(407) 810-1585
Mailing address
2605 WEMBLEYCROSS WAY, ORLANDO, FL 32828-7964
(407) 810-1585
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
3101-1116740
FL
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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