Dr. Angela Prevatt Black, MD - Jacksonville, FL

Dr. Angela Prevatt Black, MD

Student in an Organized Health Care Education/Training Program in Jacksonville, Florida

NPI 1275793358

Angela Prevatt Black is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Angela Prevatt Black practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Angela Prevatt Black is 1275793358 and holds a License No. ME115569 (Florida).

The current practice location address for Angela Prevatt Black is 10475 Centurion Pkwy N Ste 302, Jacksonville, FL and can be reached out via phone at 904-398-5437 and via fax at 904-398-3077.

Location: 10475 Centurion Pkwy N Ste 302, Jacksonville, FL, 32256-5004

NPI Number

1275793358

Provider Name

Angela Prevatt Black

Credential

Provider Entity Type

Individual

Gender

Female

Address

10475 Centurion Pkwy N Ste 302, Jacksonville, FL, 32256-5004

Phone Number

904-398-5437

Fax Number

904-398-3077

Provider Enumeration Date

06/12/2008

Last Update Date

07/20/2024

Identifier	Type	State	Issuer
'009304000	05	FL

Address

10475 Centurion Pkwy N Ste 302

City

Jacksonville

State

Florida

Zip

32256-5004

Phone Number

904-398-5437

Fax Number

904-398-3077

Address

10475 Centurion Pkwy N Ste 302

City

Jacksonville

State

Florida

Zip

32256-5004

Phone Number

904-398-5437

Fax Number

904-398-3077

Type

Allopathic & Osteopathic Physicians

Classification

Otolaryngology

Speciality

Pediatric Otolaryngology

Taxonomy

207YP0228X

License No.

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Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

ME115569 (Florida)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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