Daniel A Black (NPI# 1407298987, PAC ID# 4587951140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1407298987 |
PAC ID by PECOS | 4587951140 |
Professional Enrollment ID | I20160926000446 |
Full Name | Daniel A Black |
Organization Legal Name | JASON MANUEL PA |
Address |
13400 Sutton Park Dr S Suite 1103 Jacksonville FL 32224-0235 |
Phone Number | 9042238818 |
Gender | M |
Graduation Year | 2013 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 1759419385 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
Address | Phone | Organization |
---|---|---|
13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 | 9042238818 | JASON MANUEL PA |
Organization Legal Name | JASON MANUEL PA |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason Manuel | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
Street Address |
13400 SUTTON PARK DR S SUITE 1103 |
City | JACKSONVILLE |
State | FL |
Zip | 32224-0235 |
Name | Specialty | Organization | Address |
---|---|---|---|
Randi Most | Psychologist, Clinical | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 | |
John R Moreland | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
Jason Manuel | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
Eileen Krimsky | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert Stephen Woodward | Occupational Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Amy Oliver | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Laurie Scheer Berger | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Nancy Kysela | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Mariane Pistelli Ferreira | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Darly Thoppil | Occupational Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Marrow Burnette | Physical Therapy | 4745 Sutton Park Ct, Suite 803, Jacksonville, FL 32224-0258 | |
Max T Billingsley | Emergency Medicine | Solantic of Jacksonville LLC | 13460 Beach Blvd, Suite 1, Jacksonville, FL 32224-0301 |
James C Cunningham | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 3707 Burnt Pine Dr, Jacksonville, FL 32224-0855 |
Regina I Washington | Nurse Practitioner | My Choice Housecalls LLC | 13927 Shipwreck Cir N, Jacksonville, FL 32224-1121 |
Find all physicians in zip 32224 |
City | JACKSONVILLE |
Zip Code | 32224 |
Specialty | PODIATRY |
City + Specialty | JACKSONVILLE + PODIATRY |
Please comment or provide details below to improve the information on Daniel A Black.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.