Individual provider · Type 1 NPI

Lawrence Richard Black, DO

Surgery Physician · Fort Myers, FL

NPI number 1114035284 Active

Practice location

13691 Metro Pkwy, 350
Fort Myers, FL 33912-4327

Fax (239) 768-9559

Mailing address

2234 Colonial Blvd, Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X055736 (FL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1114035284

Lawrence Richard Black, DO's National Provider Identifier is 1114035284, issued on Aug 28, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Myers, FL. The record was last updated on Apr 25, 2016.