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Individual

IGOR GORKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3401 TOWNSEND BLVD UNIT 204, JACKSONVILLE, FL 32277-2772
(904) 428-3807
Mailing address
3401 TOWNSEND BLVD UNIT 204, JACKSONVILLE, FL 32277-2772
(904) 428-3807

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
344600000X
Taxi
347C00000X
Private Vehicle
Primary

Other

Enumeration date
10/26/2023
Last updated
10/29/2023
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