National Provider Identifier Database

IAN C BLACK, PA-C – NPI #1538678248
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

IAN C BLACK, PA-C
2776 CLEVELAND AVE
FORT MYERS, FL33901
Phone: 239-343-2606
Fax: 239-343-3695
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for IAN C BLACK

NPI Number 1538678248
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/26/2017
Last updated 11/13/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • FL License #: PA9110602
  • NC License #: 0010-10430
  • FL Medicaid: 022370000
Hospital affiliation n/a

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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