Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA BREAUX BLACK, M.D.
Active Sole ProprietorDR. LISA BREAUX BLACK, M.D. is a Family Medicine healthcare provider located in NEW SMYRNA BEACH, Florida. NPI 1851484307 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NEW SMYRNA BEACH, FL
Registration Details
- NPI Number
- 1851484307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.681220769453 yrs)
- Last Updated
- Sep 25, 2024
- License
-
22558 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
161 N CAUSEWAY STE ANEW SMYRNA BEACH, FL, 321695328Browse FL providers · Browse ZIP 32169
- Phone
- 3864241584
- Fax
- 3864104800
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in NEW SMYRNA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW B DILL | M.D. | 1215922182 |
| DR. TINA FISCHER-CARNE | MD | 1912995499 |
| JOHN W JEPMA | D.O. | 1669421889 |
| JOSHUA H YUN | MD | 1578580064 |
| DAE SUNG CHOI | MD | 1558377986 |
| DR. DINA DOOLIN | D.O. | 1356446223 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.