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Individual

DR. NICOLE MAUREEN PARADISE BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-6563
(352) 273-6250
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-6563
(352) 273-6250

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME93613
FL
208M00000X
Hospitalist Physician
Primary
ME93613
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273313700
FL
Enumeration date
07/10/2006
Last updated
10/23/2023
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