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

Lawrence R. Black, DO, PA

Organization Specialist · NPI 1619178654

Lawrence R. Black, DO, PA is a Specialist in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13691 Metro Pkwy Ste 350
Fort Myers, FL 33912-4327
Phone: (239) 768-5313
Fax: (239) 768-9559
Show map & directions

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 number1619178654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Desantis — Office Manager · (239) 768-5313
NPI enumeratedMay 29, 2007
Last updated in NPPESApril 3, 2013
Mailing address13691 Metro Pkwy, Suite 350, Fort Myers, FL 33912-4327

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