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Organization
DAVID J. BLACK
Active
Organization
DAVID J. BLACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOSEPH BLACK MD (OWNER)
(352) 375-6708
Entity
Organization
Contact information
Practice address
720 SW 2ND AVE STE 206, GAINESVILLE, FL 32601-1210
(352) 376-7751
Mailing address
720 SW 2ND AVE STE 206, GAINESVILLE, FL 32601-1210
(352) 376-7751
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MEOO44628
FL
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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