Individual
DR. JONATHAN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
12741 MIRAMAR PKWY STE 302, MIRAMAR, FL 33027-2905
(954) 602-9723
(203) 688-5599
Mailing address
12741 MIRAMAR PKWY STE 302, MIRAMAR, FL 33027-2905
(954) 602-9723
(203) 688-5599
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME132355
FL
Other
Enumeration date
06/08/2010
Last updated
07/30/2021
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