Dr. Michael Robert Black

DPM | Podiatrist - Foot & Ankle Surgery | 17+ years Exp


  
12670 Creekside Ln, Fort Myers
Florida, 33919-3370

 239-482-2663     239-482-7585Maps & Directions
Dr. Michael Robert Black is a Fort Myers, Florida based male podiatrist with 17 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation from College Of Podiatric Med And Surgery, Des Moines University in 2007. He is also affiliated with hospitals like Cape Coral Hospital and Lee Memorial Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Michael Robert Black for Podiatric Foot & Ankle Surgery is PO3431 in Florida.
Dr. Michael Robert Black provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Michael Robert Black speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Podiatrist - Foot & Ankle Surgery
Credentials: DPM
Experience: 17+ years
Medical School Attended:College Of Podiatric Med And Surgery, Des Moines University
Graduation Year:2007
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:12670 Creekside Ln, Fort Myers,
Florida, 33919-3370
Phone:239-482-2663
Fax:239-482-7585
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5799819116
Enrollment ID: I20100819001023
NPI Number: 1851589055
NPI Enumeration Date: 12 Oct, 2007
NPI Last Update On: 05 May, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Robert Black are as mentioned below.
License NumberSpecializationStateStatus
PO3431Podiatric Foot & Ankle Surgery FloridaPrimary
PL00000830Podiatric Foot & Ankle Surgery WashingtonSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Cape Coral Hospital (100244)Cape coral, FLAcute Care Hospital
Lee Memorial Hospital (100012)Fort myers, FLAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Michael Robert Black is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Deiorio Beaulieu And Fuller (3870516362)4
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Michael Robert Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
DJ551YOtherFloridaMEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 12670 Creekside Ln Ste 202,
Fort Myers, Florida
Zip: 33919-3370
Phone Number: 239-482-2663
Fax Number: 239-482-7585
Patients can reach Dr. Michael Robert Black at 12670 Creekside Ln, Fort Myers, Florida or can call to book an appointment on 239-482-2663. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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