KEVIN BENJAMIN BLACK JR.


Address: 1611 Nw 12th Ave, Miami, FL 33136-1005
Phone: 7174251176

KEVIN BENJAMIN BLACK JR. (NPI# 1710514591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710514591
Entity Type Individual
Full Name KEVIN BENJAMIN BLACK JR.
Practice Address 1611 Nw 12th Ave
Miami
FL 33136-1005
Practice Telephone 7174251176
Mailing Telephone 7174251176
Enumeration Date 2020-03-24
Last Update Date 2020-03-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers KEVIN BLACK

NPI Name Taxonomy Address Enumeration
1013352863 Kevin Black Dentist 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 2013-05-07
1003995085 Kevin Hale Black Dentist 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 2006-11-02
1285256909 Kevin Zachary Black Student in an Organized Health Care Education/Training Program 100 Peach St Ste 400, Erie, PA 16507-1423 2020-05-15
1821644576 Kevin Black Behavior Technician 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 2019-08-16
1699263889 Kevin Black Social Worker 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2018-04-24
1275763393 Kevin Heath Black Physical Therapist 8201 Atlee Rd, Suite D, Mechanicsville, VA 23116-1815 2009-07-23
1558389007 Kevin J Black Psychiatry & Neurology 517 S Euclid Ave, Saint Louis, MO 63110-1007 2006-07-17
1497719603 Kevin P Black Orthopaedic Surgery 30 Hope Dr Ste 2400, Hershey, PA 17033 2006-04-14

Office Location

Street Address 1611 NW 12TH AVE
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286251 Karen Chitty Emergency Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2005-06-21
1558968263 Natalie Dinger Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-10-06
1306452057 Ryan M Bukhari Dentist 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1467068155 Hussien Touny Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1912512310 Clementina Aurora Cabrera Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-09-11
1184237265 Kencya Toussaint Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-28
1568075976 Manuel Molina Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-25
1063025468 Carlos Federico Moral Ortega Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-25
1770195919 Ezekiel Oluwasayo Ijaopo Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-19
1568070258 Virosh Dharmadasa Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1992327761 Jorge Luis Cardenas Alvarez Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 2020-05-14
1104447036 Denver Steven Pinto Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 2020-05-01
1992325724 Dimple Kumar Chanamolu Student in an Organized Health Care Education/Training Program Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 2020-04-22
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1710543905 Tal Friehmann Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 2019-05-14
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902369648 Seyedeh Haleh Amirian Student in an Organized Health Care Education/Training Program 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 2019-04-10
Find all providers in zip 33136

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy 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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063011013 Aldo Menendez Arcia Student in an Organized Health Care Education/Training Program 12250 Nw 8th St, Miami, FL 33182-2421 2020-10-21
1285233403 Angel Rose Picart Student in an Organized Health Care Education/Training Program 12741 Sw 108th St, Miami, FL 33186-3514 2020-10-19
1801494166 Jason Duran Student in an Organized Health Care Education/Training Program 1457 Nw 50th St, Miami, FL 33142-4161 2020-10-09
1881292159 Rosalyn Viaros Student in an Organized Health Care Education/Training Program 5220 Sw 115th Ave., Miami, FL 33165 2020-10-09
1457958662 Cristian Perez Student in an Organized Health Care Education/Training Program 3060 Nw 96th St, Miami, FL 33147-2353 2020-10-01
1659988509 Karen Hernandez Student in an Organized Health Care Education/Training Program 3871 Sw 147th Ave Apt 5, Miami, FL 33185-4006 2020-09-24
1255948329 Joel Emilio Diaz-portorreal Student in an Organized Health Care Education/Training Program 14727 Sw 112th Ter, Miami, FL 33196-3326 2020-09-23
1205442043 Elizabeth Granado Student in an Organized Health Care Education/Training Program 14293 Sw 145th Pl, Miami, FL 33186-6787 2020-09-17
1598370678 Christian Marcos Student in an Organized Health Care Education/Training Program 2930 Sw 93rd Ct, Miami, FL 33165-3147 2020-09-15
1255944658 Tali Epelbaum Student in an Organized Health Care Education/Training Program 3105 Ne 210th Ter, Miami, FL 33180-3911 2020-08-25
Find all providers in MIAMI

Competitor

Search similar providers

City MIAMI
Zip Code 33136

Improve Information

Please comment or provide details below to improve the information on KEVIN BENJAMIN BLACK JR..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches