Black, Janet L

Black, Janet L is an sole proprietor health care provider with primary practice located at 3651 Lake Center Dr , Mount Dora FL 32757-2364. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Black, Janet L can be contacted via phone (352) 385-9156.

Contact Information

Primary practice address
3651 Lake Center Dr Mount Dora FL 32757-2364
Phone: (352) 385-9156
Fax: (352) 385-9159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO1752 Florida

Profile Details

NPI number 1386633410
LBN Legal business name Black, Janet L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Feb 16th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386633410 NPPES
Florida Other 480028889 RAILROAD MEDICARE
Florida Other 87999 RAILROAD MEDICARE

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