Michael Edward Black

NPI #1043103674 in Tallahassee, Florida

Provider Information

NPI Number
1043103674
Entity Type
Individual
Name
Michael Edward Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Jun 2, 2025
Last Updated
Jan 13, 2026

Practice Location

Address
1707 RIGGINS RD
State
Florida
ZIP Code
32308-5317
Phone
(850) 877-4134

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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