Lisa A Black (NPI# 1780944520, PAC ID# 8921251141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780944520 |
| PAC ID by PECOS | 8921251141 |
| Professional Enrollment ID | I20130118000407 |
| Full Name | Lisa A Black |
| Organization Legal Name | MILARN CORPORATION |
| Address |
1395 N Courtenay Pkwy Merrit Island FL 32953-4475 |
| Phone Number | 3213055978 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810042454 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100092 | WUESTHOFF MEDICAL CENTER-ROCKLEDGE |
| Address | Phone | Organization |
|---|---|---|
| 1395 N Courtenay Pkwy, Merrit Island, FL 32953-4475 | 3213055978 | MILARN CORPORATION |
| 1395 N Courtenay Pkwy, Suite 207, Merrit Island, FL 32953-4475 | 3213055978 | MILARN CORPORATION |
| Organization Legal Name | MILARN CORPORATION |
| Physicians | 1 |
| Street Address |
1395 N COURTENAY PKWY |
| City | MERRIT ISLAND |
| State | FL |
| Zip | 32953-4475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Armando O Martinez | Family Medicine | 1395 N Courtenay Pkwy, Suite 200, Merritt Island, FL 32953-4475 | |
| Edward W Hoglund | Chiropractic | 1395 N Courtenay Pkwy, Suite 205, Merritt Island, FL 32953-4475 | |
| Diane Luciani | Internal Medicine | North Point Physicians LLC | 1395 N Courtenay Pkwy, Suite 107, Merritt Island, FL 32953-4474 |
| William E Eyring Iii | Psychologist, Clinical | 1395 N Courtenay Pkwy, Suite 206, Merritt Island, FL 32953-4475 | |
| Arthur Arnold Jr. | General Practice | 1395 N Courtenay Pkwy, Suite 207, Merrit Island, FL 32953-4475 | |
| Amberle Carlyle | Physician Assistant | North Point Physicians LLC | 1395 N Courtenay Pkwy, Suite 107, Merritt Island, FL 32953-4474 |
| Stephane Naoumoff | Family Medicine | 1395 N Courtenay Pkwy, Suite 100, Merritt Island, FL 32953-4474 | |
| Terri Ann K Brogan | Family Medicine | North Point Physicians LLC | 1395 N Courtenay Pkwy, Suite 107, Merritt Island, FL 32953-4474 |
| Jennifer Deforge | Nurse Practitioner | North Point Physicians LLC | 1395 N Courtenay Pkwy, Suite 107, Merritt Island, FL 32953-4474 |
| Roberto Mixco | Neurology | 1395 N Courtenay Pkwy, Suite 106, Merritt Island, FL 32953-4474 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Davenport | Podiatry | 1490 Polaris St, Merritt Island, FL 32953-3127 | |
| Robert English Clayton Ii | Obstetrics/gynecology | 231 Mcleod St, Merritt Island, FL 32953-3463 | |
| Daniel Cowling | Optometry | 495 N Courtenay Pkwy, Merritt Island, FL 32953-3485 | |
| Skyhawk Fadigan | Family Medicine | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Ralph Rayner | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Hatice Foell | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Victor Teofilo Perez | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Tiffany Alana Bonnell | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Julieta Waldron | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Khalid Sheikh | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Find all physicians in zip 32953 | |||
| City | MERRIT ISLAND |
| Zip Code | 32953 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERRIT ISLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa A Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.