Dan Black Enterprises Inc

LBN: Dan Black Enterprises Inc
Dan Black Enterprises Inc is an health care organization with primary practice located at 6030 Nw 42Nd Ave , Coconut Creek FL 33073-3272. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Dan Black Enterprises Inc can be contacted via phone (954) 290-9282, or through Black, Daniel Spencer via phone (954) 290-9282.

Contact Information

Primary practice address
6030 Nw 42Nd Ave Coconut Creek FL 33073-3272
Phone: (954) 290-9282
Fax: (561) 853-2195
Website:
Map and Directions
Authorized official contact:
Name: Black, Daniel Spencer CBA/FL
Phone: (954) 290-9282

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0833 Florida

Profile Details

NPI number 1104116870
LBN Legal business name Dan Black Enterprises Inc
DBA Doing business as
Authorized official Black, Daniel Spencer CBA/FL
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2011
Last updated Jun 2nd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104116870 NPPES
Florida MEDICAID 676044996

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