Individual provider · Type 1 NPI

Connor Black, DO

Emergency Medicine Physician · Fort Lauderdale, FL

NPI number 1669176160 Active

Practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Mailing address

2452 NW Columbia Ave Unit 11
East Wenatchee, WA 98802-4198

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X20A26101 (CA)
Emergency Medicine Physician Primary 207P00000X06250 (KY)
Emergency Medicine Physician 207P00000X4451 (AL)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1669176160

Connor Black, DO's National Provider Identifier is 1669176160, issued on Mar 28, 2023. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Oct 20, 2026.