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: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About LANCE BLACK

This page provides the complete NPI Profile along with additional information for Lance Black, a primary care provider established in Eglin Afb, Florida with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1508957325 assigned on September 2006. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1508957325 Verify this NPI
Provider Name
DR. LANCE MICHAEL BLACK M.D.
Gender
Male
Entity Type
Individual
Location Address
307 BOATNER RD SUITE 114 EGLIN AFB, FL 32542
Location Phone
(850) 883-9624
Mailing Address
997 JOHN WAYNE CIR FORT WALTON BEACH, FL 32547
Mailing Phone
(850) 226-6439
Is Sole Proprietor?
No
Enumeration Date
09-27-2006
Last Update Date
07-08-2007
Code Navigator

A primary care provider (PCP) like Lance Black sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Internal Medicine
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
Social Worker (Clinical)
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
Dentist (Periodontics)
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
Physical Therapist (Orthopedic)
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
Emergency Medicine
307 BOATNER RD
EGLIN, FL 32542
Dentist (General Practice)
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
Nurse Practitioner (Pediatrics)
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
Internal Medicine (Gastroenterology)
307 BOATNER RD, SUITE 114 SGOMI
EGLIN AFB, FL 32542
Pharmacist
307 BOATNER RD
EGLIN AFB, FL 32542
Psychologist (Clinical)
307 BOATNER RD
EGLIN, FL 32542
Dentist (General Practice)
307 BOATNER RD, SUITE 114, EGLIN AFB
EGLIN AFB, FL 32542
Social Worker (Clinical)
307 BOATNER RD, STE 114, FAMILY MEDICINE RESIDENCY
EGLIN AFB, FL 32542
Surgery
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
Obstetrics & Gynecology
307 BOATNER RD
EGLIN AFB, FL 32542
Social Worker (Clinical)
307 BOATNER RD
EGLIN, FL 32542
Dentist (General Practice)
307 BOATNER RD
EGLIN AFB, FL 32542
Surgery
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
Chiropractor
307 BOATNER RD
EGLIN AFB, FL 32542
Nurse Anesthetist, Certified Registered
307 BOATNER RD
EGLIN AFB, FL 32542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508957325, enumerated as an "individual" on September 27, 2006.

The provider is located at 307 BOATNER RD SUITE 114 EGLIN AFB, FL 32542 and the phone number is (850) 883-9624.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.