Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bertha Black

Individual provider Registered Nurse · NPI 1831639640

Bertha Black is a Registered Nurse in Lutz, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

15420 Livingston Ave Apt 1205
Lutz, FL 33559-3419
Phone: (702) 606-4701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN9375645 (FL)

Record details

NPI number1831639640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 27, 2017
Last updated in NPPESFebruary 27, 2017
Mailing address15420 Livingston Ave Apt 1205, Lutz, FL 33559-3419

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