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Daniel A Black Dpm PA

Podiatrist, Foot & Ankle Surgery in Fort Myers, FL. Organization (NPI-2).

NPI number1063940211
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1063940211
Entity type
Organization (NPI-2)
Legal business name
Daniel A Black Dpm PA
Organization subpart
No
Enumeration date
Jun 1, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryPO3782FLYes

Practice location

8851 Boardroom Cir
Fort Myers, FL 33919-4888

Phone 239-481-7000 · Fax 239-433-8999

Mailing address

8851 Boardroom Cir
Fort Myers, FL 33919-4888

Phone 239-481-7000 · Fax 239-433-8999

Authorized official

Angela Rosania
Manager
2396898910

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