# DAVID J. BLACK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962893156
- **Authorized official:** DAVID JOSEPH BLACK MD (OWNER)
- **Authorized official phone:** (352) 375-6708

## Contact information

- **Practice address:** 720 SW 2ND AVE STE 206, GAINESVILLE, FL 32601-1210
- **Practice address phone:** (352) 376-7751
- **Mailing address:** 720 SW 2ND AVE STE 206, GAINESVILLE, FL 32601-1210
- **Mailing address phone:** (352) 376-7751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | MEOO44628 | FL | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015