JENNILEE HARRIET BLACK

TAMPA, FL
NPI1750886057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  9324727)
Enumeration Date2018-03-28
Last Update Date2018-03-28
Business Address
JENNILEE HARRIET BLACK
2401 BAYSHORE BLVD UNIT 1203
TAMPA, FL 33629-7304
Phone number: 267-342-5084
Mailing Address
JENNILEE HARRIET BLACK
2401 BAYSHORE BLVD UNIT 1203
TAMPA, FL 33629-7304
Phone number: 267-342-5084