Daniel a Black DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3782 Issued in FL

Legal business name

DANIEL A BLACK DPM PA

Practice address

8851 Boardroom Cir
Fort Myers, FL 33919-4888

Phone

(239) 481-7000

Fax

(239) 433-8999

NPI assigned

Jun 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Rosania

Title

Manager

Phone

(239) 689-8910

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Alexander Black, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Augustine, FL
  • NPI 1407298987

  Foot & Ankle Surgery

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063940211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-481-7000",
            "fax_number": "239-433-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-481-7000",
            "fax_number": "239-433-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A BLACK DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSANIA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-689-8910"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Danehy, MD
• Scott Danek, CAA
• Khashayar Alex Daneshmand, DO
• Mohammad Daneshnia
• Alisa Dangsupa, P.T., D.P.T.
• Daniel Bendetowicz, M.D., P.a.
• Jane Ailene Daniel, MD
• Jason Daniel, MS
• Daniele Medical Equipment LLC
• Danielle Jediny-Racies

• All providers in Fort Myers, FL
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.