Black, Carly
Black, Carly is an individual health care provider with primary practice located at 1157 Beach Blvd , Jacksonville Beach FL 32250-3445. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Black, Carly can be contacted via phone (904) 450-5061.Contact Information
Primary practice address
1157 Beach Blvd
Jacksonville Beach FL 32250-3445
Phone: (904) 450-5061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 20258 | Florida |
Profile Details
| NPI number | 1184275752 |
|---|---|
| LBN Legal business name | Black, Carly |
| Credentials | MOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2019 |
| Last updated | Aug 11th, 2026 - about 3 months 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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