Individual
MS. CEDRIA LACORYA BELLAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRANSPORTATION
Contact information
Practice address
8031 DREHER PARK LN APT 202, TAMPA, FL 33610-8717
(813) 841-6640
Mailing address
8031 DREHER PARK LN APT 202, TAMPA, FL 33610-8717
(813) 841-6640
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999999
—
FL
Enumeration date
08/26/2020
Last updated
08/26/2020
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