institution
Janet L Black D P M P A
Primary Podiatric Medicine Podiatrist in Mount Dora, Florida
NPI 1891844270

Janet L Black D P M P A is a Primary Podiatric Medicine Podiatrist based in Mount Dora, FL and is specialized in Primary Podiatric Medicine. Janet L Black D P M P A practices in Mount Dora, FL. The NPI Number for Janet L Black D P M P A is 1891844270 and holds a License No. (Florida).

The current practice location address for Janet L Black D P M P A is 3651 Lake Center Dr, Mount Dora, FL and can be reached out via phone at 352-385-9156 and via fax at 352-385-9159.

Location: 3651 Lake Center Dr, Mount Dora, FL, 32757-2364
institution
Provider Profile Details
NPI Number
1891844270
Provider Name
Janet L Black D P M P A
Credential
Provider Entity Type
Organization
Address
3651 Lake Center Dr, Mount Dora, FL, 32757-2364
Phone Number
352-385-9156
Fax Number
352-385-9159
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DF7049 01 FL RAILROAD MEDICARE
1891844270 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
3651 Lake Center Dr
City
State
Zip
32757-2364
Phone Number
352-385-9156
Fax Number
352-385-9159
person
Provider Business Mailing Address Details
Address
3651 Lake Center Dr
City
State
Zip
32757-2364
Phone Number
352-385-9156
Fax Number
352-385-9159
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
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Definition
Definition to come...
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