LAWRENCE R BLACK DO PA

FORT MYERS, FL
NPI1194977512
Entity TypeOrganization
Authorized ContactLAWRENCE R BLACK
Owner
239-768-5313
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  OS5736)
Enumeration Date2008-10-16
Last Update Date2009-01-23
Business Address
LAWRENCE R BLACK DO PA
13691 METRO PKWY SUITE 350
FORT MYERS, FL 33912-4327
Phone number: 239-768-5313
Mailing Address
LAWRENCE R BLACK DO PA
13691 METRO PKWY SUITE 350
FORT MYERS, FL 33912-4327
Phone number:
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