Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Manuel Gaetan, OWNER

Individual provider Driver · NPI 1205710118

Angel Manuel Gaetan, OWNER is a Driver in Coral Springs, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

10777 W Sample Rd Apt 208
Coral Springs, FL 33065-3768
Phone: (954) 793-0905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence G225637380000 (FL)

Record details

NPI number1205710118
Entity typeIndividual (Type 1)
GenderMale
Credentials OWNER
Sole proprietorYes
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

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