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Contact Information

HARRY H BLACK, MD
201 NORTH CLYDE MORRIS BLVD
SUITE 100
DAYTONA BEACH, FL32114-2724
 Phone: 386-238-3295
 Fax: 386-328-3273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HARRY H BLACK · (Male)

NPI Number 1982691077
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2005
Last updated 03/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0048766
  • FL License # ME48766
  • FL Medicaid 275548300
  • FL Other 08331 BCBS
  • FL Other ME0048766 DCWO
  • FL Other P00871769 RAILROAD MEDICARE
  • FL Other 1982691077 TRICARE
  • FL Other ME0048766 VHN
Hospital affiliation(s)
  • HALIFAX HEALTH MEDICAL CENTER - (Acute Care)
    303 N CLYDE MORRIS BLVD
    DAYTONA BEACH, FL 32114
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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