LAWRENCE R BLACK DO PA
NPI 1194977512
Specialist in Fort Myers, FL
- Organization
- Specialist
About LAWRENCE R BLACK DO PA
This page provides the complete NPI Profile along with additional information for Lawrence R Black Do Pa, a provider established in Fort Myers, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1194977512 assigned on October 2008. The practitioner's primary taxonomy code is 174400000X with license number OS5736 (FL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Lawrence R Black Do (Owner)
- NPI
- 1194977512 Verify this NPI
- Provider Name
- LAWRENCE R BLACK DO PA
- Entity Type
- Organization
- Location Address
- 13691 METRO PKWY SUITE 350 FORT MYERS, FL 33912
- Location Phone
- (239) 768-5313
- Mailing Address
- 13691 METRO PKWY SUITE 350 FORT MYERS, FL 33912
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-16-2008
- Last Update Date
- 01-23-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- OS5736
- License State
- FL
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
FORT MYERS, FL 33912
FORT MYERS, FL 33912
FORT MYERS, FL 33912
FORT MYERS, FL 33912
FORT MYERS, FL 33912
FORT MYERS, FL 33912
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194977512, enumerated as an "organization" on October 16, 2008.
The provider is located at 13691 METRO PKWY SUITE 350 FORT MYERS, FL 33912 and the phone number is (239) 768-5313.
Specialist with taxonomy code 174400000X.
