Dr. Lance Michael Black, MD - Eglin Afb, FL

Dr. Lance Michael Black, MD

Student in an Organized Health Care Education/Training Program in Eglin Afb, Florida

NPI 1508957325

Lance Michael Black is a Student in an Organized Health Care Education/Training Program based in Fort Walton Beach, FL. Lance Michael Black practices in Eglin Afb, FL and has the professional credentials of MD. The NPI Number for Lance Michael Black is 1508957325 and holds a License No. (Florida).

The current practice location address for Lance Michael Black is 307 Boatner Rd, Eglin Afb, FL and can be reached out via phone at 850-883-9624.

Location: 307 Boatner Rd, Eglin Afb, FL, 32547-4282

NPI Number

1508957325

Provider Name

Lance Michael Black

Credential

Provider Entity Type

Individual

Gender

Male

Address

307 Boatner Rd, Eglin Afb, FL, 32547-4282

Phone Number

850-883-9624

Fax Number

Provider Enumeration Date

09/27/2006

Last Update Date

03/08/2024

Address

307 Boatner Rd

City

Eglin Afb

State

Florida

Zip

32542-1391

Phone Number

850-883-9624

Fax Number

Address

307 Boatner Rd

City

Eglin Afb

State

Florida

Zip

32542-1391

Phone Number

850-883-9624

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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