Lawrence R Black DO PA
Lawrence R Black DO PA is a Specialist in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2008.
- Licensed in
- FL
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13691 Metro Pkwy Ste 350Fort Myers, FL 33912-4327
Phone: (239) 768-5313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence OS5736 (FL) |
|---|
Record details
| NPI number | 1194977512 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lawrence Black — Owner · (239) 768-5313 |
| NPI enumerated | October 16, 2008 |
| Last updated in NPPES | January 23, 2009 |
| Mailing address | 13691 Metro Pkwy, Suite 350, Fort Myers, FL 33912-4327 |
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Lawrence R. Black, DO, PA
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