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Lawrence R Black Do Pa
Specialist in Fort Myers, Florida
NPI 1194977512

Lawrence R Black Do Pa is a Specialist based in Fort Myers, FL. Lawrence R Black Do Pa practices in Fort Myers, FL. The NPI Number for Lawrence R Black Do Pa is 1194977512 and holds a License No. OS5736 (Florida).

The current practice location address for Lawrence R Black Do Pa is 13691 Metro Pkwy, Fort Myers, FL and can be reached out via phone at 239-768-5313.

Location: 13691 Metro Pkwy, Fort Myers, FL, 33912-4327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194977512
Provider Name
Lawrence R Black Do Pa
Credential
Provider Entity Type
Organization
Address
13691 Metro Pkwy, Fort Myers, FL, 33912-4327
Phone Number
239-768-5313
Fax Number
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13691 Metro Pkwy
City
Fort Myers
State
Florida
Zip
33912-4327
Phone Number
239-768-5313
Fax Number
person
Provider Business Mailing Address Details
Address
13691 Metro Pkwy
City
Fort Myers
State
Florida
Zip
33912-4327
Phone Number
239-768-5313
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OS5736 (Florida)
Definition
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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