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1851484307
LISA BREAUX BLACK
NEW SMYRNA BEACH, FL
NPI
1851484307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 22558)
Enumeration Date
2006-10-02
Last Update Date
2024-09-25
Business Address
Dr. LISA BREAUX BLACK M.D.
161 N CAUSEWAY STE A
NEW SMYRNA BEACH, FL 32169-5328
Phone number: 386-424-1584
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Mailing Address
Dr. LISA BREAUX BLACK M.D.
161 N CAUSEWAY STE A
NEW SMYRNA BEACH, FL 32169-5328
Phone number: 386-424-1584
Copy
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