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1699721548
JANIS G BLACK
COCOA, FL
NPI
1699721548
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Former Name
JANIS L GERBRACT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS9694)
Enumeration Date
2006-05-25
Last Update Date
2013-02-25
Business Address
Dr. JANIS G BLACK DO
3740 CURTIS BLVD SUITE 108
COCOA, FL 32927-3962
Phone number: 321-633-5500
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Mailing Address
Dr. JANIS G BLACK DO
3740 CURTIS BLVD SUITE 108
COCOA, FL 32927-3962
Phone number: 321-633-5500
Copy
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