| David J. Black | |
|
720 Sw 2nd Ave Ste 206 Gainesville FL 32601-1210 | |
| (352) 376-7751 | |
| Not Available |
| Full Name | David J. Black |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 720 Sw 2nd Ave Ste 206, Gainesville, Florida |
| Authorized Official Name and Position | David Joseph Black (OWNER) |
| Authorized Official Contact | 3523756708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Black 720 Sw 2nd Ave Ste 206 Gainesville FL 32601-1210 Ph: (352) 376-7751 | David J. Black 720 Sw 2nd Ave Ste 206 Gainesville FL 32601-1210 Ph: (352) 376-7751 |
| NPI Number | 1962893156 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 02/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962893156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MEOO44628 (Florida) | Primary |
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