Individual
MR. DOUGLAS J BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 NW 15TH STREET, SUITE216A, BOCA RATON, FL 33486
(561) 338-8484
(561) 338-8492
Mailing address
1050 NW 15TH ST, BOCA RATON, FL 33486-1375
(561) 338-8484
(561) 338-8492
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10894
NH
Other
Enumeration date
10/11/2005
Last updated
12/09/2021
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