Lawrence R. Black, D.O., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS5736 Issued in FL

Legal business name

LAWRENCE R. BLACK, D.O., P.A.

Practice address

13691 Metro Pkwy
Suite 350
Fort Myers, FL 33912-4327

Phone

(239) 768-5313

Fax

(239) 768-9559

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Karen Desantis

Title

Office Manager

Phone

(239) 768-5313

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.

• Lawrence Richard Black, DO

  • Surgery Physician
  • Fort Myers, FL
  • NPI 1114035284
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1619178654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "address_2": "SUITE 350",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "address_2": "SUITE 350",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124327",
            "telephone_number": "239-768-5313",
            "fax_number": "239-768-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE R. BLACK, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-768-5313"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS5736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Lavoie, MSW, LCSW
• Catherine H Law, MD
• John C Lawlor, DPM
• Patricia Ann Lawlor, MSW
• Lawrence R Black DO PA
• Cara Lynn Lawrence
• Christie Lawrence
• Kelsi Lawrence, CRNA
• Nathan Grant Lawrence, M.D.
• Richard Arden Lawrence, PHARMD

• Specialist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.