Black, Phyllis

Black, Phyllis is an individual health care provider with primary practice located at 2925 Navajo Ave , Fort Pierce FL 34946-6740. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Black, Phyllis can be contacted via phone (772) 467-9439.

Contact Information

Primary practice address
2925 Navajo Ave Fort Pierce FL 34946-6740
Phone: (772) 467-9439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA40739 Florida

Profile Details

NPI number 1295950392
LBN Legal business name Black, Phyllis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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