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

Mr. Mario Deon Ballantyne

Individual provider Driver · NPI 1770008914

Mr. Mario Deon Ballantyne is a Driver in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3945 Rose Of Sharon Dr
Orlando, FL 32808-2738
Phone: (321) 279-1218
Fax: (407) 704-4464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transportation Broker (primary) Taxonomy 347E00000X · Licence B453544754290 (FL)
Driver Taxonomy 172A00000X · Licence B453544754290 (FL)

Record details

NPI number1770008914
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 9, 2017
Last updated in NPPESJuly 21, 2022

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