Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lance Michael Black, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508957325

Dr. Lance Michael Black, MD is a Student in an Organized Health Care Education/Training Program in Eglin AFB, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1391
Phone: (850) 883-9624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508957325
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address997 John Wayne Cir, Fort Walton Beach, FL 32547-4282

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