Individual
DWIGHT LAVON PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1715 JILLIAN RD, BRANDON, FL 33510-2215
(813) 605-2113
Mailing address
1715 JILLIAN RD, BRANDON, FL 33510-2215
(813) 606-2113
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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