DANIEL A BLACK

JASON MANUEL PA

Dr DANIEL A BLACK is a male medical professional, specializing in Podiatry. He graduated in 2013.

Contact

JASON MANUEL PA

13400 SUTTON PARK DR S
SUITE 1103
JACKSONVILLE
FL
322240235

Tel: 9042238818

DANIEL A BLACK Information

Npi 1407298987
Pac Id 4587951140
Professional Enrollment Id I20160926000446
Last Name BLACK
First Name DANIEL
Middle Name A
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name JASON MANUEL PA
Group Practice Pac Id 1759419385
Number Of Group Practice Members 2
Line 1 Street Address 13400 SUTTON PARK DR S
Line 2 Street Address SUITE 1103
Marker Of Address Line 2 Suppression
City JACKSONVILLE
State FL
Zip Code 322240235
Phone Number 9042238818
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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