Lawrence R Black (NPI# 1114035284, PAC ID# 0840357356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1114035284 |
| PAC ID by PECOS | 0840357356 |
| Professional Enrollment ID | I20090327000573 |
| Full Name | Lawrence R Black |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Address |
13691 Metro Pkwy Suite 350 Fort Myers FL 33912-4351 |
| Phone Number | 2397685313 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9830082882 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100220 | GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM |
| 100012 | LEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13691 Metro Pkwy, Suite 350, Fort Myers, FL 33912-4351 | 2397685313 | 21ST CENTURY ONCOLOGY, LLC |
| 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 21ST CENTURY ONCOLOGY, LLC | |
| 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5618 | 2392634499 | 21ST CENTURY ONCOLOGY, LLC |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Physicians | 306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra E Marrero Ortiz | General Surgery | 21st Century Oncology, LLC | 720 Doctors Dr, Englewood, FL 34223-3992 |
| Eihab Akary | Urology | 21st Century Oncology, LLC | 3325 S Tamiami Trl, Suite 200, Sarasota, FL 34239-5114 |
| Aimiee Michelle Cruz | Nurse Practitioner | 21st Century Oncology, LLC | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 |
| Staci Lin Mitchell | Nurse Practitioner | 21st Century Oncology, LLC | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7553 |
| Nicole B Houle | Nurse Practitioner | 21st Century Oncology, LLC | 1419 Se 8th Ter, Cape Coral, FL 33990-3213 |
| Geoffrey Alan Geiger | Radiation Oncology | 21st Century Oncology, LLC | 3426 N Roosevelt Blvd, Key West, FL 33040-4224 |
| Ashok V.s. Kumar | Hematology/oncology | 21st Century Oncology, LLC | 12741 Miramar Pkwy, Suite 306, Miramar, FL 33027-2905 |
| Donna L Irving | Nurse Practitioner | 21st Century Oncology, LLC | 28930 Trails Edge Boulevard, Suite 200, Bonita Springs, FL 34134-7582 |
| Aurora Y Luna | Diagnostic Radiology | 21st Century Oncology, LLC | 1311 N University Dr, Coral Springs, FL 33071-6622 |
| Elizabeth A Arguelles | General Surgery | 21st Century Oncology, LLC | 733 4th Ave N, Naples, FL 34102-5731 |
| Street Address |
13691 METRO PKWY SUITE 350 |
| City | FORT MYERS |
| State | FL |
| Zip | 33912-4351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sergio R Mather | Endocrinology | Millennium Physician Group LLC | 13691 Metro Pkwy, Suite 130, Fort Myers, FL 33912-4321 |
| Curtis Dedrick | Internal Medicine | Millennium Physician Group LLC | 13691 Metro Pkwy, Suite 330, Fort Myers, FL 33912-4322 |
| Michael Haiken | Dermatology | Michael J Haiken Md Pa | 13691 Metro Pkwy, Suite 310, Fort Myers, FL 33912-4322 |
| Frederick J Burford | Family Medicine | Millennium Physician Group LLC | 13691 Metro Pkwy, Suite 330, Fort Myers, FL 33912-4322 |
| David J Gomeringer | Geriatric Medicine | 13691 Metro Pkwy, Suite 240, Fort Myers, FL 33912-4321 | |
| Jack W Clark Jr. | Rheumatology | Millennium Physician Group LLC | 13691 Metro Pkwy, Suite 130, Fort Myers, FL 33912-4321 |
| Sharon Lee L Witt | Family Medicine | Millennium Physician Group LLC | 13691 Metro Pkwy, Suite 130, Fort Myers, FL 33912-4321 |
| Brice R Tompkins | Family Medicine | Millennium Physician Group LLC | 13691 Metro Pkwy, Suite 130, Fort Myers, FL 33912-4321 |
| Binh Truong | Internal Medicine | Millennium Physician Group LLC | 13691 Metro Pkwy, Suite 330, Fort Myers, FL 33912-4322 |
| David R Baldinger | Rheumatology | Millennium Physician Group LLC | 13691 Metro Pkwy, Suite 330, Fort Myers, FL 33912-4322 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish G Sharma | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Joseph P Walker | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Nadia Ameena Kazim | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Glenn L Wing | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Christine Lynn Hoch | Chiropractic | 8971 Daniels Ctr Dr, Unit 304, Fort Myers, FL 33912-0310 | |
| Petra D Debolt | Nurse Practitioner | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| William Phifer | Internal Medicine | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| Arlette Martell Muniz | Internal Medicine | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| Zunia Garcia Padron | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Barbara J Ossorio | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Find all physicians in zip 33912 | |||
| City | FORT MYERS |
| Zip Code | 33912 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FORT MYERS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Lawrence R Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.