Individual
MICHAEL DARRYL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 45TH ST STE 301, WEST PALM BEACH, FL 33407-2450
(561) 227-9240
(561) 842-9570
Mailing address
927 45TH ST, STE 301, WEST PALM BEACH, FL 33407-2450
(561) 227-9240
(561) 842-9570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME110661
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A52781
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME110661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003909000
—
FL
05
—
00A527810
—
CA
Enumeration date
07/21/2006
Last updated
07/21/2022
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