Individual
MS. DONNA JEAN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.,M.AC.
Contact information
Practice address
1705 NW 6TH ST, GAINESVILLE, FL 32609-3531
(352) 337-2702
(352) 378-5166
Mailing address
PO BOX 2792, GAINESVILLE, FL 32602-2792
(352) 337-2702
(352) 378-5166
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0400
BLUE CROSS BLUE SHEILD
FL
Enumeration date
03/05/2007
Last updated
07/08/2007
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