OrganizationActive
Lawrence R Black DO PA
NPI 1194977512 · Specialist · Fort Myers, FL
Lawrence R Black DO PA is a Specialist organization in Fort Myers, FL (NPI 1194977512).
Provider details
- NPI number
- 1194977512
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lawrence Black, Owner(239) 768-5313
- License
- OS5736 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
13691 Metro Pkwy
Suite 350
Fort Myers, FL 33912-4327
Phone: (239) 768-5313
Street-level locationGet directions
Mailing address
13691 Metro Pkwy
Fort Myers, FL 33912-4327
Registry dates
- Enumerated
- 2008-10-16
- Last updated
- 2009-01-23
Frequently asked questions
- What is Lawrence R Black DO PA's NPI number?
- Lawrence R Black DO PA's National Provider Identifier (NPI) is 1194977512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lawrence R Black DO PA?
- Lawrence R Black DO PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lawrence R Black DO PA located?
- Lawrence R Black DO PA's practice location on file with NPPES is 13691 Metro Pkwy, Fort Myers, FL 33912-4327.
- What is Lawrence R Black DO PA's phone number?
- The practice phone number listed in the NPPES registry for Lawrence R Black DO PA is (239) 768-5313.
- Who is the authorized official for Lawrence R Black DO PA?
- The authorized official listed on Lawrence R Black DO PA's NPPES record is Lawrence Black, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lawrence R Black DO PA's NPI active?
- Yes — Lawrence R Black DO PA's NPI (1194977512) is active in the NPPES registry as of the last update on 2009-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.