Black, Theresa Marie
Black, Theresa Marie is an sole proprietor health care provider with primary practice located at 402 N Babcock St Ste 102 , Melbourne FL 32935-7335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Black, Theresa Marie can be contacted via phone (321) 241-6540.Contact Information
Primary practice address
402 N Babcock St Ste 102
Melbourne FL 32935-7335
Phone: (321) 241-6540
Fax: (321) 428-4442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN11025876 | Florida |
Profile Details
| NPI number | 1164119269 |
|---|---|
| LBN Legal business name | Black, Theresa Marie |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2023 |
| Last updated | Apr 19th, 2023 - about last year |
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.
Popular Providers
-
Smith, Pamela Denise
4100 N Wickham Rd Unit 107A-334 , Melbourne FL 32935-2485 -
Eckbold, Michele Lynn
1900 S Harbor City Blvd Ste 230 , Melbourne FL 32901-4789 -
Glisson, Sharon
930 S Harbor City Blvd , Melbourne FL 32901 -
Bovee, Kathleen Mary
6300 N Wickham Rd Ste 132A , Melbourne FL 32940-2023 -
Mercado, Lisa Maria
720 E New Haven Ave Ste 11 , Melbourne FL 32901-5474 -
Burden, Martina Lynette
2560 Judge Fran Jamieson Way Unit 1110 , Melbourne FL 32940-6195 -
Van Someren, Rebekah Ann
4251 Stack Blvd , Melbourne FL 32901-8526 -
Pajuelo, Christin
111 E Hibiscus Blvd , Melbourne FL 32901-3102