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Khuri Black
Student in an Organized Health Care Education/Training Program in Fort Myers, Florida
NPI 1932645694

Khuri Black is a Student in an Organized Health Care Education/Training Program based in Loxahatchee, FL. Khuri Black practices in Fort Myers, FL. The NPI Number for Khuri Black is 1932645694 and holds a License No. (Florida).

The current practice location address for Khuri Black is 10501 Fgcu Blvd S, Fort Myers, FL and can be reached out via phone at 561-568-1091.

Location: 10501 Fgcu Blvd S, Fort Myers, FL, 33470-5414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932645694
Provider Name
Khuri Black
Credential
Provider Entity Type
Individual
Gender
Male
Address
10501 Fgcu Blvd S, Fort Myers, FL, 33470-5414
Phone Number
561-568-1091
Fax Number
Provider Enumeration Date
01/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10501 Fgcu Blvd S
City
Fort Myers
State
Florida
Zip
33965-6502
Phone Number
561-568-1091
Fax Number
person
Provider Business Mailing Address Details
Address
10501 Fgcu Blvd S
City
Fort Myers
State
Florida
Zip
33965-6502
Phone Number
561-568-1091
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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