OrganizationActive
Daniel a Black DPM PA
NPI 1063940211 · Foot & Ankle Surgery Podiatrist · Fort Myers, FL
Provider details
- NPI number
- 1063940211
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Angela Rosania, Manager(239) 689-8910
- License
- PO3782 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8851 Boardroom Cir
Fort Myers, FL 33919-4888
Phone: (239) 481-7000
Fax: (239) 433-8999
Street-level locationGet directions
Mailing address
8851 Boardroom Cir
Fort Myers, FL 33919-4888
Registry dates
- Enumerated
- 2017-06-01
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.