Black, Michael Darryl

Black, Michael Darryl is an sole proprietor health care provider with primary practice located at 927 45Th St Ste 301 , West Palm Beach FL 33407-2450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Black, Michael Darryl can be contacted via phone (561) 227-9240.

Contact Information

Primary practice address
927 45Th St Ste 301 West Palm Beach FL 33407-2450
Phone: (561) 227-9240
Fax: (561) 842-9570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME110661 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A52781 California
Allopathic & Osteopathic Physicians / Surgery 208600000X ME110661 Florida

Profile Details

NPI number 1659392256
LBN Legal business name Black, Michael Darryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659392256 NPPES
Florida MEDICAID 003909000
Florida MEDICAID 00A527810

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