OrganizationActive
Lawrence R. Black, D.O., P.A.
NPI 1619178654 · Specialist · Fort Myers, FL
Lawrence R. Black, D.O., P.A. is a Specialist organization in Fort Myers, FL (NPI 1619178654).
Provider details
- NPI number
- 1619178654
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Karen Desantis, Office Manager(239) 768-5313
- License
- OS5736 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Fax: (239) 768-9559
Street-level locationGet directions
Mailing address
13691 Metro Pkwy
Fort Myers, FL 33912-4327
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2013-04-03
Frequently asked questions
- What is Lawrence R. Black, D.O., P.A.'s NPI number?
- Lawrence R. Black, D.O., P.A.'s National Provider Identifier (NPI) is 1619178654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lawrence R. Black, D.O., P.A.?
- Lawrence R. Black, D.O., P.A. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lawrence R. Black, D.O., P.A. located?
- Lawrence R. Black, D.O., P.A.'s practice location on file with NPPES is 13691 Metro Pkwy, Fort Myers, FL 33912-4327.
- What is Lawrence R. Black, D.O., P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Lawrence R. Black, D.O., P.A. is (239) 768-5313.
- Who is the authorized official for Lawrence R. Black, D.O., P.A.?
- The authorized official listed on Lawrence R. Black, D.O., P.A.'s NPPES record is Karen Desantis, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lawrence R. Black, D.O., P.A.'s NPI active?
- Yes — Lawrence R. Black, D.O., P.A.'s NPI (1619178654) is active in the NPPES registry as of the last update on 2013-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.