LAWRENCE R. BLACK, DO


Address: 13691 Metro Pkwy Ste 350, Fort Myers, FL 33912-4351

LAWRENCE R. BLACK, DO (DUNS #081370274) is an entity registered with System for Award Management (SAM). The business start date is December 31, 1984.

Business Overview

DUNS Number 081370274 (Data Universal Numbering System by Dun & Bradstreet)
CAGE Code 85VM0 (Commercial and Government Entity Code by NATO Codification System)
DBA Name LAWRENCE R. BLACK, DO
Entity Structure 2L - Corporate Entity (Not Tax Exempt)
Physical Address 13691 Metro Pkwy Ste 350
Fort Myers
FL 33912-4351
Mailing Address 2160 Colonial Blvd
Fort Myers
FL 33907
Business Type 2X - For Profit Organization
Primary NAICS Code 621111 - Offices of Physicians (except Mental Health Specialists)
Credit Card Usage Y
Debt Subject to Offset N
Incorporation State FL
Congressional District 19
Registration Purpose Z2 - All Awards
Record Status Active
Business Start Date December 31, 1984
Registration Date September 12, 2018
Expiration Date October 14, 2021
Update Date October 26, 2020
Activation Date October 15, 2020
Fiscal Year End Date 1231

Points of Contacts (POC)

Electronic Business POC

Contact Name & Title Gregory England (RVP PAYER CONTRACTING)
Address 2160 Colonial Blvd, Fort Myers, FL 33907
Phone Number 2399317300
Email Address [email protected]

Government Business POC

Contact Name & Title Gregory England (RVP PAYER CONTRACTING)
Address 2160 Colonial Blvd, Fort Myers, FL 33907
Phone Number 2399317300
Email Address [email protected]

Office Location

Street Address 13691 METRO PKWY STE 350
City FORT MYERS
State FL
Zip Code 33912

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Business Officer

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City FORT MYERS
Zip Code 33912

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Dataset Information

Data Provider System for Award Management (SAM)
Jurisdiction United States

This dataset includes 670 thousands business entities registered with the System for Award Management (SAM), General Services Administration. Each entity is registered with DUNS ID, business name, location, point of contacts, business types, etc.

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