DR. Douglas Keith Black, O.D.

NPI #1255372363 in Longboat Key, Florida

Provider Information

NPI Number
1255372363
Entity Type
Individual
Name
DR. Douglas Keith Black, O.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jun 9, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5350 GULF OF MEXICO DR
Address 2
SUITE #202
State
Florida
ZIP Code
34228-2069
Phone
(941) 387-8772

Specialties & Taxonomy Codes

Specialty
Optometrist

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