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1104557412
LORRAINE BLACK
SAINT PETERSBURG, FL
NPI
1104557412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11020305)
Enumeration Date
2022-06-19
Last Update Date
2024-05-17
Business Address
LORRAINE BLACK PMHNP
7901 4TH ST N STE 300
SAINT PETERSBURG, FL 33702-4399
Phone number: 850-280-4834
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Mailing Address
LORRAINE BLACK PMHNP
PO BOX 104
NICEVILLE, FL 32588-0104
Phone number: 850-661-4731
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