David J. Black

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MEOO44628 Issued in FL

Legal business name

DAVID J. BLACK

Practice address

720 SW 2ND Ave Ste 206
Gainesville, FL 32601-1210

Phone

(352) 376-7751

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

David Joseph Black, MD

Title

Owner

Phone

(352) 375-6708

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1962893156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SW 2ND AVE STE 206",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326011210",
            "telephone_number": "352-376-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SW 2ND AVE STE 206",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326011210",
            "telephone_number": "352-376-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. BLACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-375-6708",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "MEOO44628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Davenport, RD, PHD
• Steven D Davenport, LPN
• Julie Gaona Davey, CNM
• David Auerbach MD PA
• David C. Blumer, MD
• David M. Roshkind, DMD, P.a. (Gainesville Dental Associates)
• David Reed Counseling LLC
• Jessica David
• John E David, MD
• Breanna Leigh Davids, PHARMD

• Adult Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.