Ingram, Dewayne Octavian

Ingram, Dewayne Octavian is an individual health care provider with primary practice located at 2739 Willowgate Ave , Orlando FL 32822-4185. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Ingram, Dewayne Octavian can be contacted via phone (321) 280-0107.

Contact Information

Primary practice address
2739 Willowgate Ave Orlando FL 32822-4185
Phone: (321) 280-0107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Florida

Profile Details

NPI number 1689398349
LBN Legal business name Ingram, Dewayne Octavian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2022
Last updated Sep 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers