Black Stallion Walk-in and Exercise Medicine Clinics LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

BLACK STALLION WALK-IN AND EXERCISE MEDICINE CLINICS LLC

Practice address

9955 SE Federal Hwy
Hobe Sound, FL 33455-4829

Phone

(772) 932-9310

NPI assigned

Apr 13, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gracia Pierre-Pierre, MD

Title

Owner

Phone

(772) 932-9310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1720607484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334554829",
            "telephone_number": "772-932-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334554829",
            "telephone_number": "772-932-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK STALLION WALK-IN AND EXERCISE MEDICINE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "PIERRE-PIERRE",
        "authorized_official_first_name": "GRACIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-932-9310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13595686",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arline Beauplan
• Jennifer L Beh, L.M.T,L.E.T,L.L.C.C.
• Cheryl Ann Bell, PTA
• Cheryl A Berntsen, MS CCC-SLP
• Tina Louise Bertolis, FNP-BC
• Rebecca Blaszak, BCBA
• Blue Wave Concierge, LLC
• Richard Bosso, RPH
• Lisa Garnet Bowe, PT
• Ellen Roberta Bradley, OD

• Sports Medicine (Family Medicine) Physician in Hobe Sound, FL
• Providers in Hobe Sound, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.