Individual
ANGELA GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8556 STURBRIDGE CIR W, JACKSONVILLE, FL 32244-6188
(904) 515-8129
Mailing address
8556 STURBRIDGE CIR W, JACKSONVILLE, FL 32244-6188
(904) 515-8129
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
G520010837570
FL
Other
Enumeration date
04/05/2020
Last updated
04/05/2020
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