Individual
JONATHAN D BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7300 SANDLAKE COMMONS BLVD, SUITE 220, ORLANDO, FL 32819-8050
(407) 248-8000
(407) 248-8909
Mailing address
7300 SANDLAKE COMMONS BLVD, SUITE 220, ORLANDO, FL 32819-8050
(407) 248-8000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 92118
FL
Other
Enumeration date
10/17/2006
Last updated
11/30/2011
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