Organization · Type 2 NPI

Lawrence R. Black, D.o., P.a.

Specialist · Fort Myers, FL

NPI number 1619178654 Active

Practice location

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

Call (239) 768-5313 Map

Fax (239) 768-9559

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOS5736 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1619178654

Lawrence R. Black, D.o., P.a.'s National Provider Identifier is 1619178654, issued on May 29, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Myers, FL. The record was last updated on Apr 3, 2013.