Black, Thomas J

Black, Thomas J is an sole proprietor health care provider with primary practice located at 10000 Bay Pines Blvd Bay Pines Vamc, Bay Pines FL 33744. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Black, Thomas J can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10000 Bay Pines Blvd Bay Pines Vamc Bay Pines FL 33744
Phone: (727) 398-6661
Fax: (727) 398-9575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME36561 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME36561 Florida

Profile Details

NPI number 1427017805
LBN Legal business name Black, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated Dec 18th, 2007 - about 17 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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