Individual
CARL ROBERT BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4901 NW 17TH WAY STE 302, FORT LAUDERDALE, FL 33309-3772
(888) 536-9963
Mailing address
4901 NW 17TH WAY STE 302, FORT LAUDERDALE, FL 33309-3772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS68068
FL
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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