Individual
ANTONIO PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11763 LAKE BEND CIR, JACKSONVILLE, FL 32218-9057
(904) 923-2882
Mailing address
11763 LAKE BEND CIR, JACKSONVILLE, FL 32218-9057
(904) 923-2882
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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