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

Daniel a Black DPM PA

Organization Foot & Ankle Surgery Podiatrist · NPI 1063940211

Daniel a Black DPM PA is a Foot & Ankle Surgery Podiatrist in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8851 Boardroom Cir
Fort Myers, FL 33919-4888
Phone: (239) 481-7000
Fax: (239) 433-8999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3782 (FL)

Record details

NPI number1063940211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Rosania — Manager · (239) 689-8910
NPI enumeratedJune 1, 2017
Last updated in NPPESJuly 21, 2022
Mailing address8851 Boardroom Cir, Fort Myers, FL 33919-4888

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