Debra Todd Black, DO, PA
Debra Todd Black, DO, PA is a Family Medicine Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13440 Parker Commons Blvd Ste 101Fort Myers, FL 33912-1816
Phone: (239) 432-9383
Fax: (239) 432-9392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence OS5735 (FL) |
|---|
Record details
| NPI number | 1083919500 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Renee Richards — Office Manager · (239) 432-9383 |
| NPI enumerated | January 13, 2011 |
| Last updated in NPPES | January 13, 2011 |
| Mailing address | 13440 Parker Commons Blvd, Suite 101, Fort Myers, FL 33912-1816 |
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