Doctor profile · Federal record

Dr. Amanda Black, MD

Urology Physician · Urology Physician · Jacksonville, FL

  • NPI 1013610914
  • 3 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4500 San Pablo RD S
Jacksonville, FL 322241865
(904) 953-2000

Credentials & registration

NPPES · NUCC
NPI registered
March 2023 — 3 yrs on file
Profile last updated
September 13, 2025
Specialty taxonomy
208800000X — NUCC code
State licenses (2)
Florida #ME170844 · Florida #TRN38073

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1013610914. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$893
Transactions
12
Manufacturers
9
Payer (manufacturer) Industry Txns Amount
COLOPLAST CORP 2 $225.91
Boston Scientific Corporation 2 $188.94
C. R. Bard, Inc. & Subsidiaries 2 $185.00
Cook Medical LLC 1 $101.40
Davol Inc. 1 $70.11
Bolton Medical Inc 1 $36.64
Teleflex LLC 1 $31.29
CIVCO Medical Instruments 1 $28.25
BIOPROTECT MEDICAL, INC. 1 $25.78

By nature of payment

Food and Beverage
$893

Frequently asked questions

Auto-generated from federal data
What is Dr. Amanda Black's medical specialty?
Dr. Amanda Black practices Urology Physician in Jacksonville, FL.
Where does Dr. Amanda Black practice?
Dr. Amanda Black practices at 4500 San Pablo RD S, Jacksonville, FL 322241865. Office phone: 9049532000.
What is Dr. Amanda Black's NPI?
Dr. Amanda Black's National Provider Identifier (NPI) is 1013610914, issued by NPPES.