Angela Black, MD

Individual Active
NPI 1275793358
Pediatric Otolaryngology Physician Jacksonville, FL

NPI 1275793358 belongs to Angela Black, MD, a pediatric otolaryngology physician with a practice location in Jacksonville, FL. The NPI was issued on June 12, 2008, and the record was last updated in NPPES on August 10, 2026. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Otolaryngology Physician Primary 207YP0228X ME115569 (FL)
Student in an Organized Health Care Education/Training Program 390200000X Not listed

Practice location

10475 Centurion Pkwy N Ste 302
Jacksonville, FL 32256-5004
Phone: (904) 398-5437

Local context

Active NPPES records list 9 providers with pediatric otolaryngology physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 84 in Florida and 851 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Angela Prevatt Black
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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