LISA ANNE BLACK

MERRITT ISLAND, FL
NPI1780944520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP 2159422)
Enumeration Date2012-05-28
Last Update Date2012-12-03
Business Address
Mrs. LISA ANNE BLACK ARNP
220 S COURTENAY PKWY SUITE B
MERRITT ISLAND, FL 32952-4893
Phone number: 321-868-5815
Mailing Address
Mrs. LISA ANNE BLACK ARNP
PO BOX 561600
ROCKLEDGE, FL 32956-1600
Phone number: 321-259-0635
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