Black, Carol Ann

Black, Carol Ann is an individual health care provider with primary practice located at 903 E Cypress Creek Rd , Ft Lauderdale FL 33334-4116. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Black, Carol Ann can be contacted via phone (954) 491-2225.

Contact Information

Primary practice address
903 E Cypress Creek Rd Ft Lauderdale FL 33334-4116
Phone: (954) 491-2225
Fax: (954) 491-6862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1942466537
LBN Legal business name Black, Carol Ann
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2008
Last updated Aug 2nd, 2008 - about 18 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 1942466537 NPPES
Florida Other MA33170 MASSAGE THERAPY LICENSE

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