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Dr. ANGELA PREVATT BLACK MD

Individual Provider (NPI-1) Active

Otolaryngology, Pediatric Otolaryngology

Provider Information

NPI Number
1275793358
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
10475 CENTURION PKWY N STE 302, JACKSONVILLE, FL, 322565004
Phone
(904) 398-5437
Fax
(904) 398-3077

Specialties & Taxonomies

Otolaryngology, Pediatric Otolaryngology Primary License: FL #ME115569
Student in an Organized Health Care Education/Training Program

All Addresses

LOCATION

10475 CENTURION PKWY N STE 302

JACKSONVILLE, FL, 322565004

(904) 398-5437

MAILING

10475 CENTURION PKWY N STE 302

JACKSONVILLE, FL, 322565004

(043) 985-4379