LAWRENCE RICHARD BLACK

FORT MYERS, FL
NPI1114035284
Professional NameLAWRENCE R BLACK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: FL  055736)
Enumeration Date2006-08-28
Last Update Date2016-04-25
Business Address
Dr. LAWRENCE RICHARD BLACK DO
13691 METRO PKWY 350
FORT MYERS, FL 33912-4327
Phone number: 239-768-5313
Mailing Address
Dr. LAWRENCE RICHARD BLACK DO
2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS
FORT MYERS, FL 33907-1412
Phone number: 239-931-7342
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