Individual
CURTIS JAY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
807 HIGHWAY 22, WEWAHITCHKA, FL 32465-3237
(850) 568-1053
(850) 568-1053
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 568-1053
(850) 568-1053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 17786
FL
Other
Enumeration date
09/28/2006
Last updated
10/29/2015
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