Individual
NATHANIEL AARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6824 NORWOOD AVE, JACKSONVILLE, FL 32208-4471
(904) 710-7237
Mailing address
1076 MOOSEHEAD DR, ORANGE PARK, FL 32065-5235
(904) 710-7237
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091580
NON EMERGENCY TRANSPORTATION
FL
01
—
83-2889622
IRS
FL
Enumeration date
07/06/2021
Last updated
09/20/2023
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