LISA BREAUX BLACK

NEW SMYRNA BEACH, FL
NPI1851484307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  22558)
Enumeration Date2006-10-02
Last Update Date2024-09-25
Business Address
Dr. LISA BREAUX BLACK M.D.
161 N CAUSEWAY STE A
NEW SMYRNA BEACH, FL 32169-5328
Phone number: 386-424-1584
Mailing Address
Dr. LISA BREAUX BLACK M.D.
161 N CAUSEWAY STE A
NEW SMYRNA BEACH, FL 32169-5328
Phone number: 386-424-1584
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