Dr. Janet L Black
Foot Surgery
3651 Lake Center Dr
Mount Dora
, Florida 32757-2364
Dr. Janet L Black
Foot Surgery
3651 Lake Center Dr
Mount Dora
, Florida 32757-2364
(352) 385-9159
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Janet L Black
- 3651 Lake Center Dr
- Mount Dora, FL
- Zip : 32757-2364
- Fax : (352) 385-9159
- Phone : (352) 385-9156
Second Address
- Dr. Janet L Black
- 3651 Lake Center Dr
- Mount Dora, FL
- Zip : 32757-2364
- Fax : (352) 385-9159
- Phone : (352) 385-9156
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | PO1752 | FL |
National Provider Identifier
| NPI | 1386633410 |
|---|---|
| Provider Name | Dr. Janet L Black |
| First Address | Mount Dora, FL 32757-2364 |
| Second Address | Mount Dora, FL 32757-2364 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2005 |
| Last Update Date | 16/02/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 480028889 | RAILROAD MEDICARE (01) | FL |
| 87999 | BCBS PROVIDER ID (01) | FL |
| T84668 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.