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1144954256
ERIC JAVARES MOODY
LAKELAND, FL
NPI
1144954256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: FL M300210893210)
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
ERIC JAVARES MOODY
734 TROPICAL WAY
LAKELAND, FL 33805-4541
Phone number: 813-410-7861
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Mailing Address
ERIC JAVARES MOODY
734 TROPICAL WAY
LAKELAND, FL 33805-4541
Phone number: 813-410-7861
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