Individual
LATIFAH SPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9752 CUNNINGHAM RD, JACKSONVILLE, FL 32246-2111
(904) 370-3602
Mailing address
9752 CUNNINGHAM RD, JACKSONVILLE, FL 32246-2111
(904) 370-3602
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
FL
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
347C00000X
Private Vehicle
—
FL
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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