Black, Harry H

Black, Harry H is an individual health care provider with primary practice located at 201 North Clyde Morris Blvd Suite 100, Daytona Beach FL 32114-2724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Black, Harry H can be contacted via phone (386) 238-3295.

Contact Information

Primary practice address
201 North Clyde Morris Blvd Suite 100 Daytona Beach FL 32114-2724
Phone: (386) 238-3295
Fax: (386) 328-3273
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0048766 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME48766 Florida

Profile Details

NPI number 1982691077
LBN Legal business name Black, Harry H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 4th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982691077 NPPES
Florida Other ME0048766 DCWO
Florida Other 08331 DCWO
Florida Other P00871769 DCWO
Florida Other ME0048766 DCWO
Florida MEDICAID 275548300 DCWO
Florida Other 1982691077 DCWO

Popular Providers