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

Kevin Benjamin Black Jr., MD

Individual provider Family Medicine Physician · NPI 1710514591

Kevin Benjamin Black Jr., MD is a Family Practice in Orlando, Florida. Graduated from Meharry Medical College School of Medicine in 2020, 6 years ago. Practices with Orlando Physicians Network Inc, a 231-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Trained at
Meharry Medical College School of Medicine
Licensed in
FL
In the registry since
2020
Specialties on file
2
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

8793 Commodity Cir
Orlando, FL 32819-9005
Phone: (407) 351-8200
Fax: (407) 351-7696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1611 Nw 12th Ave, Miami, FL 33136-1005 — (717) 425-1176

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME161739 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710514591
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Orlando Physicians Network Inc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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