Individual
DAHLIA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3923 NW 41ST ST, CAPE CORAL, FL 33993-7404
(941) 500-2754
Mailing address
3923 NW 41ST ST, CAPE CORAL, FL 33993-7404
(941) 500-2754
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
241191
FL
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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