Michael Robert Black in Fort Myers - Foot & Ankle Surgery
Michael Robert Black - NPI 1851589055
Michael Robert Black is a Foot & Ankle Surgery in Fort Myers, Florida. Michael Robert Black practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Michael Robert Black is 1851589055. The last update date is 2023-05-05.
Michael Robert Black's current location address is 12670 Creekside Ln Ste 202, Fort Myers, Florida. You can contact this provider via phone number 2394822663 and fax number 2394827585. The mailing address for Michael Robert Black is 12670 Creekside Ln Ste 202, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Robert Black |
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Address | 12670 Creekside Ln Ste 202, Fort Myers, Florida |
Phone Number | 2394822663 |
Fax Number | 2394827585 |
Sole Proprietor | N |
Credentials | DPM |
NPI Number Detail
NPI Number | 1851589055 |
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Provider Enumeration Date | 2007-10-12 |
Last Updated Date | 2023-05-05 |
Provider Mailing Address Detail
Address | 12670 Creekside Ln Ste 202 |
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City | Fort Myers |
State | Florida (FL) |
Post Code | 339193370 |
Phone Number | 2394822663 |
Fax Number | 2394827585 |
Provider's Primary Taxonomy Detail
Speciality | Foot & Ankle Surgery |
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Taxonomy | 213Es0103X |
Licence No | PL00000830 |
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
DJ551Y | FL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Robert Black by the Centers for Medicare & Medicaid Services?
The Michael Robert Black has been issued the NPI (National Provider Identifier) 1851589055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Robert Black?
The Michael Robert Black is physically situated at 12670 Creekside Ln Ste 202, in the city of Fort Myers, state of FL, with the postal code 339193370.
What is Michael Robert Black's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Robert Black's specialized field of practice is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851589055 to Michael Robert Black?
The Centers for Medicare & Medicaid Services originally issued the 1851589055 to Michael Robert Black on 2007-10-12.
As of what date were the details related to Michael Robert Black most recently updated or revised?
The information pertaining to Michael Robert Black, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-05.
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