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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEBRA TODD BLACK, D.O., P.A.

Active Organization

DEBRA TODD BLACK, D.O., P.A. is a Family Medicine organization located in FORT MYERS, Florida. NPI 1083919500 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FORT MYERS, FL

Registration Details

NPI Number
1083919500
Provider Type
Organization
NPI Issued
Jan 13, 2011 (15.580022786646 yrs)
Last Updated
Jan 13, 2011
License
OS5735 (FL)

Practice Information

Address
13440 PARKER COMMONS BLVD
SUITE 101
FORT MYERS, FL, 339121816
Browse FL providers · Browse ZIP 33912
Phone
2394329383
Fax
2394329392
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.