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Connie Black
NPI 1659904647 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1830 E Olive Rd
Pensacola, FL 32514 - Phone
- (850) 473-4461
- Organisation at this address
- Olive Baptist Church, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-18
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