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LAWRENCE R BLACK DO PA
NPI 1194977512
Specialist in Fort Myers, FL

Active since October 16, 2008
13691 METRO PKWY, SUITE 350, FORT MYERS, FL 33912(239) 768-5313 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence R Black Do Pa NPPES

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

LAWRENCE R BLACK DO PA (NPI 1194977512) is a healthcare organization registered as a specialist in Fort Myers, Florida and active in the NPI registry since October 2008. The organization lists Lawrence R Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1194977512
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAWRENCE R BLACK DO PA
Location Address13691 METRO PKWY, SUITE 350Fort Myers, FL 33912-4327
Mailing Address13691 Metro Pkwy, Suite 350Fort Myers, FL 33912-4327
Phone(239) 768-5313
Organization SubpartNo
Authorized OfficialLawrence R BlackOwner · (239) 768-5313
Enumeration DateOctober 16, 2008
Last NPPES UpdateJanuary 23, 2009
✔ NPI 1194977512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · OS5736
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.
13691 METRO PKWY, Fort Myers, FL 33912
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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 19

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

DR. LAWRENCE RICHARD BLACK DO
Surgery
13691 METRO PKWY, 350
FORT MYERS, FL 33912
Lee County (239) 768-5313
EAR NOSE & THROAT INSTITUTE FACIAL SURGERY GROUP PA
Otolaryngology
13691 METRO PKWY, STE 420
FORT MYERS, FL 33912
Lee County (239) 768-7332
FLORIDA OPTICAL SERVICES
Eyewear Supplier
13691 METRO PKWY, SUITE 100
FORT MYERS, FL 33912
Lee County (239) 334-2015
HAROLD C KUSHNER M.D.
Otolaryngology
13691 METRO PKWY, STE 420
FORT MYERS, FL 33912
Lee County (239) 768-7332
FRANK E CAMPANILE MD PA
Plastic Surgery
13691 METRO PKWY, 110
FORT MYERS, FL 33912
Lee County (239) 225-0333
ADAM M BENO DMD, PA
Dentist (General Practice)
13691 METRO PKWY, STE 250
FORT MYERS, FL 33912
Lee County (239) 768-5900
MICHAEL J HAIKEN MD PA
Dermatology (MOHS-Micrographic Surgery)
13691 METRO PKWY, SUITE 310
FORT MYERS, FL 33912
Lee County (239) 691-3987
MONICA ACOSTA L.D.O.
Technician/Technologist (Optician)
13691 METRO PKWY, SUITE 100
FORT MYERS, FL 33912
Lee County (239) 334-2105

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 Lawrence R Black Do PA's NPI number?

The NPI number for Lawrence R Black Do PA is 1194977512. It was assigned to this organization in the NPPES registry on October 16, 2008.

Where is Lawrence R Black Do PA located?

Lawrence R Black Do PA is located at 13691 Metro Pkwy Suite 350, Fort Myers, FL 33912. The listed phone number is (239) 768-5313.

What is Lawrence R Black Do PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lawrence R Black Do PA was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.