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

Dr. Michael Robert Black, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1851589055

Dr. Michael Robert Black, DPM is a Podiatry in Fort Myers, Florida. Graduated from College of Podiatric Med and Surgery, Des Moines University in 2007, 19 years ago. Practices with Orthopedic Center of Florida, Inc, a 49-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Washington.

Years since qualifying
19
Trained at
College of Podiatric Med and Surgery, Des Moines University
Licensed in
FL, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

12670 Creekside Ln Ste 202
Fort Myers, FL 33919-3370
Phone: (239) 482-2663
Fax: (239) 482-7585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3530 Kraft Rd Ste 201, Naples, FL 34105-5020 — (239) 445-2112

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3431 (FL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence PL00000830 (WA)

Record details

NPI number1851589055
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedOctober 12, 2007
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCOLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice Orthopedic Center Of Florida, Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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