Individual
DR. LUCIEN VANDY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-9120
(352) 294-8091
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-9120
(352) 294-8091
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD.205621
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936557
—
AL
05
—
009936558
—
AL
05
—
015132900
—
FL
05
—
2314939
—
LA
Enumeration date
08/31/2006
Last updated
01/31/2019
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