Latifah Spain
Latifah Spain is a Secured Medical Transport (VAN) in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2025
- Specialties on file
- 3
Practice location Address checks out
9752 Cunningham RdJacksonville, FL 32246-2111
Phone: (904) 370-3602
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X (FL) |
|---|---|
| Secured Medical Transport (VAN) | Taxonomy 343800000X (FL) |
| Private Vehicle | Taxonomy 347C00000X (FL) |
Record details
| NPI number | 1972397362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2025 |
| Last updated in NPPES | April 8, 2025 |
| Certification date | April 8, 2025 |
| Mailing address | 9752 Cunningham Rd, Jacksonville, FL 32246-2111 |
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