Individual
DAVID JOSEPH BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5603
(352) 273-5159
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME001469
FL
207Q00000X
Family Medicine Physician
Primary
ME44628
FL
207QA0505X
Adult Medicine Physician
ME001469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01395
BLUECROSS BLUESHIELD FL
FL
05
—
0431362-00
—
FL
05
—
100780000
—
FL
01
—
110016276
RAILROAD MEDICARE
FL
Enumeration date
07/21/2006
Last updated
10/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us