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DAVID J. BLACK NPI 1962893156


NPI Information

NPI: 1962893156
Provider Name: DAVID J. BLACK
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
720 SW 2ND AVE STE 206
GAINESVILLE, FL
ZIP 32601
Phone: (352) 376-7751
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DAVID J. BLACK is an adult medicine family medicine in Gainesville, FL. The provider is definition to come. DAVID J. BLACK NPI is 1962893156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

720 SW 2ND AVE STE 206
GAINESVILLE, FL
ZIP 32601-210
Phone: (352) 376-7751

The provider's authorized official is David Joseph Black .
The authorized official title is Owner and has the following contact phone number (352) 375-6708.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineMEOO44628FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11295756682MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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