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Contact Information

ANGELA P BLACK, MD
10475 CENTURION PKWY N STE 302
JACKSONVILLE, FL32256-5004
 Phone: 904-398-5437
 Fax: 904-398-3077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANGELA P BLACK · (Female)

NPI # 1275793358
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2008
Last updated 07/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME115569
  • FL Medicaid '009304000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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