Black, Robert A.

Black, Robert A. is an individual health care provider with primary practice located at 646 Virginia St Ste 200 , Dunedin FL 34698-6612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Black, Robert A. can be contacted via phone (727) 724-0425.

Contact Information

Primary practice address
646 Virginia St Ste 200 Dunedin FL 34698-6612
Phone: (727) 724-0425
Fax: (727) 724-0425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME72600 Florida

Profile Details

NPI number 1508826785
LBN Legal business name Black, Robert A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508826785 NPPES
Florida MEDICAID 252533400

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