Dr. Lucien Vandy Black
M.D. | Pediatric Hematology-Oncology | Male
Dr. Lucien Vandy Black, M.D. is a Gainesville, Florida based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Lucien Vandy Black is
1600 Sw Archer Rd, Gainesville, Florida - 32610-3003. He can be contacted on phone at
352-273-9120 and fax number 352-294-8091.
Dr. Lucien Vandy Black is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Lucien Vandy Black is
1811008865 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 31 Jan, 2019.
Dr. Lucien Vandy Black license number is
MD.205621 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Louisiana.
Dr. Lucien Vandy Black is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Lucien Vandy Black basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Lucien Vandy Black |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Lucien Vandy Black address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1600 Sw Archer Rd
Gainesville, FL, 32610-3003
United States |
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| Phone Number : | 352-273-9120 |
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| Fax Number : | 352-294-8091 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811008865 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Aug, 2006 |
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| Last Updated On : | 31 Jan, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lucien Vandy Black are as mentioned. Primary taxonomy code for Dr. Lucien Vandy Black, M.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | MD.205621 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lucien Vandy Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 009936557 | MEDICAID | AL | |
| 2314939 | MEDICAID | LA | |
| 015132900 | MEDICAID | FL | |
| 009936558 | MEDICAID | AL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1600 Sw Archer Rd
Gainesville, FL, 32610-3003
United States |
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| Phone Number : | 352-273-9120 |
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| Fax Number : | 352-294-8091 |
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Business Location:
Patients can refer following map for directions to
Dr. Lucien Vandy Black practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.