| Chad Black Md, Llc | |
|
610 Sycamore Street Suite 130 Celebration FL 34747 | |
| (321) 287-6955 | |
| Not Available |
| Full Name | Chad Black Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Sycamore Street Suite 130, Celebration, Florida |
| Authorized Official Name and Position | Chad Black (CEO / MEDICAL DIRECTOR) |
| Authorized Official Contact | 3212876955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Black Md, Llc 610 Sycamore Street Suite 130 Celebration FL 34747 Ph: () - | Chad Black Md, Llc 610 Sycamore Street Suite 130 Celebration FL 34747 Ph: (321) 287-6955 |
| NPI Number | 1538596309 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538596309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
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