Individual
GARY ROBERT LLEWELLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 STONE GATE LN, PORT ORANGE, FL 32129-4123
(386) 299-5803
Mailing address
87 STONE GATE LN, PORT ORANGE, FL 32129-4123
(386) 299-5803
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
G13000081749
FL
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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