institution
Lawrence R. Black, D.o., P.a.
Specialist in Fort Myers, Florida
NPI 1619178654

Lawrence R. Black, D.o., P.a. is a Specialist based in Fort Myers, FL. Lawrence R. Black, D.o., P.a. practices in Fort Myers, FL. The NPI Number for Lawrence R. Black, D.o., P.a. is 1619178654 and holds a License No. OS5736 (Florida).

The current practice location address for Lawrence R. Black, D.o., P.a. is 13691 Metro Pkwy, Fort Myers, FL and can be reached out via phone at 239-768-5313 and via fax at 239-768-9559.

Location: 13691 Metro Pkwy, Fort Myers, FL, 33912-4327
institution
Provider Profile Details
NPI Number
1619178654
Provider Name
Lawrence R. Black, D.o., P.a.
Credential
Provider Entity Type
Organization
Address
13691 Metro Pkwy, Fort Myers, FL, 33912-4327
Phone Number
239-768-5313
Fax Number
239-768-9559
Provider Enumeration Date
05/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13691 Metro Pkwy
City
State
Zip
33912-4327
Phone Number
239-768-5313
Fax Number
239-768-9559
person
Provider Business Mailing Address Details
Address
13691 Metro Pkwy
City
State
Zip
33912-4327
Phone Number
239-768-5313
Fax Number
239-768-9559
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
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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