Black, David Joseph

Black, David Joseph is an sole proprietor health care provider with primary practice located at 3780 Nw 83Rd St , Gainesville FL 32606-5603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Black, David Joseph can be contacted via phone (352) 377-2022.

Contact Information

Primary practice address
3780 Nw 83Rd St Gainesville FL 32606-5603
Phone: (352) 377-2022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME001469 Florida
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME001469 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME44628 Florida

Profile Details

NPI number 1295756682
LBN Legal business name Black, David Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Oct 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295756682 NPPES
Florida Other 110016276 RAILROAD MEDICARE
Florida Other 01395 RAILROAD MEDICARE
Florida MEDICAID 0431362-00 RAILROAD MEDICARE

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