Individual provider · Type 1 NPI
Angela Prevatt Black, MD
Pediatric Otolaryngology Physician · Jacksonville, FL
Practice location
4168 Southpoint Pkwy S Ste 201
Jacksonville, FL 32216-8002
Fax (904) 398-3077
Mailing address
1800 Dr Martin Luther King Jr St N
St. Petersburg, FL 33704-4222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Otolaryngology Physician Primary | 207YP0228X | ME115569 (FL) |
Pediatric Otolaryngology Physician: A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearin…
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About NPI 1275793358
Angela Prevatt Black, MD's National Provider Identifier is 1275793358, issued on Jun 12, 2008. The primary taxonomy on file is Pediatric Otolaryngology Physician (207YP0228X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 15, 2026.