David Joseph Black in Fort Myers - Family Medicine
David Joseph Black - NPI 1295756682
David Joseph Black is a Family Medicine in Fort Myers, Florida. David Joseph Black practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David Joseph Black is 1295756682. The last update date is 2021-10-28.
David Joseph Black's current location address is 2675 Winkler Ave Fl 2, Fort Myers, Florida. You can contact this provider via phone number 8778563774. The mailing address for David Joseph Black is 2675 Winkler Ave Fl 2, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Joseph Black |
|---|---|
| Address | 2675 Winkler Ave Fl 2, Fort Myers, Florida |
| Phone Number | 8778563774 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295756682 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2021-10-28 |
Provider Mailing Address Detail
| Address | 2675 Winkler Ave Fl 2 |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339019342 |
| Phone Number | 8778563774 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME001469 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110016276 | FL | RAILROAD MEDICARE | |
| 1395 | FL | BLUECROSS BLUESHIELD FL | |
| 0431362-00 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David Joseph Black?
The David Joseph Black has been issued the NPI (National Provider Identifier) 1295756682 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of David Joseph Black?
The David Joseph Black is situated at 2675 Winkler Ave Fl 2, in the city of Fort Myers, state of FL, with the zip code 339019342.
What is David Joseph Black's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Joseph Black is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the David Joseph Black receive its 1295756682 assignment from the Centers for Medicare & Medicaid Services?
The David Joseph Black was assigned its 1295756682 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date was the information pertaining to David Joseph Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Joseph Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-28.
NPI Number: 1376546309
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