Mr. Dewayne Octavian Ingram
Mr. Dewayne Octavian Ingram is a Driver in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2022.
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
2739 Willowgate AveOrlando, FL 32822-4185
Phone: (321) 280-0107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X (FL) |
|---|
Record details
| NPI number | 1689398349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 27, 2022 |
| Last updated in NPPES | September 27, 2022 |
| Certification date | September 27, 2022 |
| Mailing address | 2739 Willowgate Ave, Orlando, FL 32822-4185 |
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