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LAWRENCE R. BLACK, D.O., P.A.
NPI 1619178654
Specialist in Fort Myers, FL

Active since May 29, 2007
13691 METRO PKWY, SUITE 350, FORT MYERS, FL 33912(239) 768-5313(239) 768-9559 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lawrence R. Black, D.o., P.a. NPPES

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

LAWRENCE R. BLACK, D.O., P.A. (NPI 1619178654) is a healthcare organization registered as a specialist in Fort Myers, Florida and active in the NPI registry since May 2007. The organization lists Karen Desantis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619178654
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAWRENCE R. BLACK, D.O., P.A.
Location Address13691 METRO PKWY, SUITE 350Fort Myers, FL 33912-4327
Mailing Address13691 Metro Pkwy, Suite 350Fort Myers, FL 33912-4327
Phone(239) 768-5313
Fax(239) 768-9559
Organization SubpartNo
Authorized OfficialKaren DesantisOffice Manager · (239) 768-5313
Enumeration DateMay 29, 2007
Last NPPES UpdateApril 3, 2013
✔ NPI 1619178654 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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Other Identifiers 1

Medicare ID-Type UnspecifiedP7529FL · Sender Number

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
LAWRENCE R BLACK DO PA
Specialist
13691 METRO PKWY, SUITE 350
FORT MYERS, FL 33912
Lee County (239) 768-5313
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

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, D.O., P.A.'s NPI number?

The NPI number for Lawrence R. Black, D.O., P.A. is 1619178654. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Lawrence R. Black, D.O., P.A. located?

Lawrence R. Black, D.O., P.A. 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, D.O., P.A.'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, D.O., P.A. was last updated on April 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.