Doris Black

Physical Therapy Assistant · Port Orange, FL

Individual Active NPI

NPI number 1790125854

Practice location

5535 S Williamson Blvd
Suite 774
Port Orange, FL 32128-8311
Phone
(386) 756-4395
Fax
(386) 944-7202

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NPI record

NPI
1790125854
Entity type
Individual (Type 1)
Enumeration date
July 3, 2013
Last updated
July 3, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 6201 CA

About Doris Black

Doris Black is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311. The NPI number 1790125854 was assigned on July 3, 2013 and the record was last updated on July 3, 2013.

Doris Black lists a license in the registry: #6201 (CA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Doris Black?

The NPI number is 1790125854.

What is the phone number of Doris Black?

The phone number listed for the practice location is (386) 756-4395.

Where is Doris Black located?

5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311.

What is the taxonomy code for Doris Black?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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