Individual
DR. DANIEL ALEXANDER BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
113 NATURE WALK PKWY, UNIT 105, SAINT AUGUSTINE, FL 32092-3066
(315) 382-5910
Mailing address
113 NATURE WALK PKWY, UNIT 105, SAINT AUGUSTINE, FL 32092-3066
(315) 382-5910
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO3782
LICENSE
FL
Enumeration date
07/24/2013
Last updated
10/07/2021
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