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

Michael Edward Black

Individual provider Physician Assistant · NPI 1043103674

Michael Edward Black is a Physician Assistant in Tallahassee, Florida. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1707 Riggins Rd
Tallahassee, FL 32308-5317
Phone: (850) 877-4134
Fax: (850) 942-4112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3009 4th St, Marianna, FL 32446-2122 — (850) 526-7474

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (FL)

Record details

NPI number1043103674
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing addressPo Box 13834, Tallahassee, FL 32317-3834

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Tallahassee