Organization
DANIEL A BLACK DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ROSANIA (MANAGER)
(239) 689-8910
Entity
Organization
Contact information
Practice address
8851 BOARDROOM CIR, FORT MYERS, FL 33919-4888
(239) 481-7000
(239) 433-8999
Mailing address
8851 BOARDROOM CIR, FORT MYERS, FL 33919-4888
(239) 481-7000
(239) 433-8999
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3782
FL
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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