Black, Daniel Alexander

Black, Daniel Alexander is an sole proprietor health care provider with primary practice located at 113 Nature Walk Pkwy Unit 105, Saint Augustine FL 32092-3066. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Black, Daniel Alexander can be contacted via phone (315) 382-5910.

Contact Information

Primary practice address
113 Nature Walk Pkwy Unit 105 Saint Augustine FL 32092-3066
Phone: (315) 382-5910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3782 Florida

Profile Details

NPI number 1407298987
LBN Legal business name Black, Daniel Alexander
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2013
Last updated Oct 7th, 2021 - about 5 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 1407298987 NPPES
Florida Other PO3782 LICENSE

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