Lawrence R. Black, Do

LBN: Genesiscare Usa Of Florida Llc
Lawrence R. Black, Do is an health care organization with primary practice located at 13691 Metro Pkwy Ste 350 Metro Medical Plaza, Fort Myers FL 33912-4351. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Genesiscare Usa Of Florida Llc can be contacted via phone (239) 768-5313, or through Marzouk, Shaden via phone (239) 931-7254.

Contact Information

Primary practice address
13691 Metro Pkwy Ste 350 Metro Medical Plaza Fort Myers FL 33912-4351
Phone: (239) 768-5313
Fax: (239) 768-9559
Website:
Map and Directions
Authorized official contact:
Name: Marzouk, Shaden
Phone: (239) 931-7254

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1891036810
LBN Legal business name Genesiscare Usa Of Florida Llc
DBA Doing business as Lawrence R. Black, Do
Authorized official Marzouk, Shaden
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 15th, 2013
Last updated Sep 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891036810 NPPES
Florida Other CE7138 RAILROAD MEDICARE

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