Individual ProviderDenise Sylvia BlackStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2500 Metrohealth Drive, Cleveland, OH 44109(216) 778-5415PECOS EnrollmentBased on the most recent information from CMS, provider Denise Sylvia Black does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1376770628Provider TypeIndividualFull NameBlack, Denise SylviaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/14/2009Last Updated2/21/2011Contact InformationPractice LocationPractice Address2500 Metrohealth Drive, Cleveland, OH 44109Phone(216) 778-5415FaxUnlisted FaxMailing LocationMailing Address2500 Metrohealth Drive, Cleveland, OH 44109Phone(216) 778-5415FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer