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

FORT MYERS, FL
NPI1619178654
Entity TypeOrganization
Authorized ContactKAREN DESANTIS
Office Manager
239-768-5313
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  OS5736)
Enumeration Date2007-05-29
Last Update Date2013-04-03
Business Address
LAWRENCE R. BLACK, D.O., P.A.
13691 METRO PKWY SUITE 350
FORT MYERS, FL 33912-4327
Phone number: 239-768-5313
Mailing Address
LAWRENCE R. BLACK, D.O., P.A.
13691 METRO PKWY SUITE 350
FORT MYERS, FL 33912-4327
Phone number: