DR. LANCE MICHAEL BLACK M.D.
NPI 1508957325
Student in an Organized Health Care Education/Training Program in Eglin Afb, FL

Active since September 27, 2006
307 BOATNER RD, SUITE 114, EGLIN AFB, FL 32542(850) 883-9624 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Lance Michael Black M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LANCE MICHAEL BLACK M.D. (NPI 1508957325) is an individual student in an organized health care education/training program in Eglin Afb, Florida and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1508957325
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LANCE MICHAEL BLACKCredential: M.D.
Location Address307 BOATNER RD, SUITE 114Eglin Afb, FL 32542-1391
Mailing Address997 John Wayne CirFort Walton Beach, FL 32547-4282 · (850) 226-6439
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508957325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
307 BOATNER RD, Eglin Afb, FL 32542

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
307 BOATNER RD
EGLIN AFB, FL 32542
Dentist
307 BOATNER RD
EGLIN AFB, FL 32542
Pharmacist
307 BOATNER RD
EGLIN AFB, FL 32542
Anesthesiology
307 BOATNER RD
EGLIN AFB, FL 32542
Family Medicine
307 BOATNER RD
EGLIN AFB, FL 32542
Nurse Anesthetist, Certified Registered
307 BOATNER RD
EGLIN AFB, FL 32542
Military Health Care Provider
307 BOATNER RD
EGLIN AFB, FL 32542
Pediatrics
307 BOATNER RD, STE 114
EGLIN AFB, FL 32542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lance Black's NPI number?

The NPI number for Lance Black is 1508957325. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Lance Black located?

Lance Black practices at 307 Boatner Rd Suite 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-9624.

What is Lance Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lance Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.