Individual provider · Type 1 NPI
Daniel Alexander Black, DPM
Foot & Ankle Surgery Podiatrist · St. Augustine, FL
NPI number
1407298987
Active
Practice location
113 Nature Walk Pkwy, Unit 105
St. Augustine, FL 32092-3066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO3782 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1407298987
Daniel Alexander Black, DPM's National Provider Identifier is 1407298987, issued on Jul 24, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Augustine, FL. The record was last updated on Oct 7, 2021.