CONNOR BLACK

FORT LAUDERDALE, FL
NPI1669176160
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
CONNOR BLACK DO
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-355-4400
Mailing Address
CONNOR BLACK DO
2452 NW COLUMBIA AVE UNIT 11
EAST WENATCHEE, WA 98802-4198
Phone number: