Black, Michael Darryl
Black, Michael Darryl is an sole proprietor health care provider with primary practice located at 927 45Th St Ste 301 , West Palm Beach FL 33407-2450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Black, Michael Darryl can be contacted via phone (561) 227-9240.Contact Information
Primary practice address
927 45Th St Ste 301
West Palm Beach FL 33407-2450
Phone: (561) 227-9240
Fax: (561) 842-9570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME110661 | Florida |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | A52781 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME110661 | Florida |
Profile Details
| NPI number | 1659392256 |
|---|---|
| LBN Legal business name | Black, Michael Darryl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659392256 | NPPES |
| Florida | MEDICAID | 003909000 | |
| Florida | MEDICAID | 00A527810 |
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