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DEBRA TODD BLACK, D.O., P.A.
NPI 1083919500
Family Medicine in Fort Myers, FL

Active since January 13, 2011
13440 PARKER COMMONS BLVD, SUITE 101, FORT MYERS, FL 33912(239) 432-9383(239) 432-9392 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra Todd Black, D.o., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA TODD BLACK, D.O., P.A. (NPI 1083919500) is a healthcare organization registered as a family medicine in Fort Myers, Florida and active in the NPI registry since January 2011. The organization lists Renee Jean Richards, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083919500
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEBRA TODD BLACK, D.O., P.A.
Location Address13440 PARKER COMMONS BLVD, SUITE 101Fort Myers, FL 33912-1816
Mailing Address13440 Parker Commons Blvd, Suite 101Fort Myers, FL 33912-1816 · (239) 432-9383 · Fax (239) 432-9392
Phone(239) 432-9383
Fax(239) 432-9392
Organization SubpartNo
Authorized OfficialRenee Jean RichardsOffice Manager · (239) 432-9383
Enumeration DateJanuary 13, 2011
✔ NPI 1083919500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS5735
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13440 PARKER COMMONS BLVD, Fort Myers, FL 33912
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Other Identifiers 1

Medicare UPINE66948FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAYNITA C D'SOUZA MD
Internal Medicine
13440 PARKER COMMONS BLVD, SUITE 105
FORT MYERS, FL 33912
Lee County (239) 225-6304
RICARDO E. NOVOA, D.O., P.A.
Family Medicine
13440 PARKER COMMONS BLVD, SUITE 101
FORT MYERS, FL 33912
Lee County (239) 482-7765
DR. DAVID SCOTT TRETTENERO DDS
Dentist
13440 PARKER COMMONS BLVD, BLD 4 SUITE 104
FT MYERS, FL 33912
Lee County (239) 277-7007
MRS. DEBRA TODD BLACK D.O.
Family Medicine
13440 PARKER COMMONS BLVD, STE 101
FORT MYERS, FL 33912
Lee County (239) 432-9383
DR. CESAR A. ESCUDERO MD
Family Medicine
13440 PARKER COMMONS BLVD, SUITE 105
FORT MYERS, FL 33912
Lee County (239) 225-6304
DR. MELWYN S D'SOUZA MD
Internal Medicine
13440 PARKER COMMONS BLVD, SUITE NUMBER 105
FORT MYERS, FL 33912
Lee County (239) 225-6304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Todd Black, D.O., P.A.'s NPI number?

The NPI number for Debra Todd Black, D.O., P.A. is 1083919500. It was assigned to this organization in the NPPES registry on January 13, 2011.

Where is Debra Todd Black, D.O., P.A. located?

Debra Todd Black, D.O., P.A. is located at 13440 Parker Commons Blvd Suite 101, Fort Myers, FL 33912. The listed phone number is (239) 432-9383.

What is Debra Todd Black, D.O., P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Debra Todd Black, D.O., P.A. was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.