ANTONIO RAVEN NPI 1104569771

NPI Information

  • NPI: 1104569771
  • Provider Name: ANTONIO RAVEN
  • Classification: Private Vehicle - 347C00000X
  • Entity Type: Individual
  • Address: 4700 SW ARCHER RD APT V153
    GAINESVILLE, FL
    ZIP 32608
  • Phone: (305) 492-8883

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NPI Details

Antonio Raven is a private vehicle in Gainesville, FL. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. Antonio Raven NPI is 1104569771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4700 SW ARCHER RD APT V153
GAINESVILLE, FL
ZIP 32608-890
Phone: (305) 492-8883

The enumeration date for this NPI number is 4/20/2022 and was last updated on 4/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1347C00000XPrivate VehicleYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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