Search › Florida › 163W00000X
Miranda Black, LPN
NPI 1518703933 · on the registry since 2024
Practice
- Address
- 2230 Phoenix Ave
Jacksonville, FL 32206 - Phone
- (904) 466-7339
Additional practice sites
- 1985 W 30th St, Jacksonville, FL
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida