Organization
JANET L BLACK D P M P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L BLACK DPM (OWNER)
(352) 385-9156
Entity
Organization
Contact information
Practice address
3651 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 385-9156
(352) 385-9159
Mailing address
3651 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 385-9156
(352) 385-9159
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891844270
MEDICARE
FL
01
—
DF7049
RAILROAD MEDICARE
FL
Enumeration date
01/09/2007
Last updated
06/25/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up