Individual
AMINA BRANDY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, MSN
Contact information
Practice address
616 E ST, CLEARWATER, FL 33756-3342
(727) 447-0888
Mailing address
8243 101ST CT, SEMINOLE, FL 33777-1836
(727) 417-1859
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
106047
FL
Other
Enumeration date
02/06/2015
Last updated
05/09/2024
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