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Contact Information

BRIAN E BLACK, MD
1611 NW 12TH AVE
MIAMI, FL33136-1005
 Phone: 305-585-5881
 Fax: 305-585-3322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRIAN E BLACK · (Male)

NPI # 1649269473
Status Active
Credentials MD
Entity Individual
Enumeration date 10/14/2005
Last updated 06/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME138640
  • WI License # 31096
  • WI Medicaid 31606600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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