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1538596309
CHAD BLACK MD, LLC
CELEBRATION, FL
NPI
1538596309
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Entity Type
Organization
Authorized Contact
CHAD BLACK
CEO / Medical Director
321-287-6955
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2013-10-10
Last Update Date
2013-10-10
Business Address
CHAD BLACK MD, LLC
610 SYCAMORE STREET SUITE 130
CELEBRATION, FL 34747
Phone number: 321-287-6955
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Mailing Address
CHAD BLACK MD, LLC
610 SYCAMORE STREET SUITE 130
CELEBRATION, FL 34747
Phone number:
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