Dr IAN C BLACK is a male medical professional, specializing in Physician Assistant. He graduated in 2017.
NCHMD INC
680 2ND AVE N
SUITE 304
NAPLES
FL
341025757
Tel: 2392617711
| Npi | 1538678248 |
| Pac Id | 5597021832 |
| Professional Enrollment Id | I20171102001488 |
| Last Name | BLACK |
| First Name | IAN |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | NCHMD INC |
| Group Practice Pac Id | 9436139565 |
| Number Of Group Practice Members | 336 |
| Line 1 Street Address | 680 2ND AVE N |
| Line 2 Street Address | SUITE 304 |
| Marker Of Address Line 2 Suppression | |
| City | NAPLES |
| State | FL |
| Zip Code | 341025757 |
| Phone Number | 2392617711 |
| Hospital Affiliation Ccn 1 | 100012 |
| Hospital Affiliation Lbn 1 | LEE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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