Individual
MAX V BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 CASA LOMA BLVD STE 102, BOYNTON BEACH, FL 33435-4166
(561) 413-2832
Mailing address
625 CASA LOMA BLVD STE 102, BOYNTON BEACH, FL 33435-4166
(561) 413-2832
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME150070
FL
Other
Enumeration date
06/26/2017
Last updated
06/21/2021
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