| Erin Black, Md Pllc | |
|
6801 Nw 9th Blvd Ste 2 Gainesville FL 32605-4263 | |
| (352) 514-5829 | |
| Not Available |
| Full Name | Erin Black, Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6801 Nw 9th Blvd Ste 2, Gainesville, Florida |
| Authorized Official Name and Position | Erin Black (OWNER) |
| Authorized Official Contact | 3525145829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Black, Md Pllc 5408 Sw 93rd Ter Gainesville FL 32608-4327 Ph: (352) 514-5829 | Erin Black, Md Pllc 6801 Nw 9th Blvd Ste 2 Gainesville FL 32605-4263 Ph: (352) 514-5829 |
| NPI Number | 1649924630 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Medicare PECOS PAC ID | 3072908946 |
|---|---|
| Medicare Enrollment ID | O20220312000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649924630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Erin Lessner Black |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831419068 PECOS PAC ID: 7719104074 Enrollment ID: I20220312000181 |
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