Debra Todd Black, D.o., P.a.
NPI #1083919500 in Fort Myers, Florida
Provider Information
- NPI Number
- 1083919500
- Entity Type
- Organization
- Organization Name
- Debra Todd Black, D.o., P.a.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 13, 2011
- Last Updated
- Jan 13, 2011
Practice Location
- Address
- 13440 PARKER COMMONS BLVD
- Address 2
- SUITE 101
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33912-1816
- Phone
- (239) 432-9383
Authorized Official
- Name
- MRS. RENEE JEAN RICHARDS
- Title
- OFFICE MANAGER
- Phone
- (239) 432-9383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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