Individual
DR. ROBERT A. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
646 VIRGINIA ST STE 200, DUNEDIN, FL 34698-6612
(727) 724-0425
(727) 724-0425
Mailing address
646 VIRGINIA ST STE 200, DUNEDIN, FL 34698-6612
(727) 724-0425
(727) 724-0425
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME72600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252533400
—
FL
Enumeration date
03/23/2006
Last updated
08/19/2022
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