IndividualActive
Angela Black, MD
NPI 1275793358 · Pediatric Otolaryngology Physician · Jacksonville, FL
Provider details
- NPI number
- 1275793358
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME115569 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
10475 Centurion Pkwy N Ste 302
Jacksonville, FL 32256-5004
Phone: (904) 398-5437
Fax: (904) 398-3077
Approximate (ZIP-level) locationGet directions
Mailing address
10475 Centurion Pkwy N Ste 302
Jacksonville, FL 32256-5004
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.