William Maurice Blackshear in St Petersburg - Vascular Surgery
William Maurice Blackshear - NPI 1619080793
William Maurice Blackshear is a Vascular Surgery in St Petersburg, Florida. William Maurice Blackshear practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for William Maurice Blackshear is 1619080793. The last update date is 2011-08-02.
William Maurice Blackshear's current location address is 7292 4th St N, St Petersburg, Florida. You can contact this provider via phone number 7278968149 and fax number 7278238606. The mailing address for William Maurice Blackshear is 7292 4th St N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Maurice Blackshear |
|---|---|
| Address | 7292 4th St N, St Petersburg, Florida |
| Phone Number | 7278968149 |
| Fax Number | 7278238606 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619080793 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2011-08-02 |
Provider Mailing Address Detail
| Address | 7292 4th St N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337025813 |
| Phone Number | 7278968149 |
| Fax Number | 7278238606 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | ME0035320 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38919600 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to William Maurice Blackshear by the Centers for Medicare & Medicaid Services?
The William Maurice Blackshear has been issued the NPI (National Provider Identifier) 1619080793 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where William Maurice Blackshear's facilities are geographically located?
The facilities of William Maurice Blackshear are physically situated at the following location: 7292 4Th St N, St Petersburg, FL, 337025813.
What is William Maurice Blackshear's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William Maurice Blackshear's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
On what date did the William Maurice Blackshear receive its 1619080793 assignment from the Centers for Medicare & Medicaid Services?
The William Maurice Blackshear was assigned its 1619080793 by the Centers for Medicare & Medicaid Services on 2006-08-16.
When was the information regarding William Maurice Blackshear most recently updated?
The details pertaining to the William Maurice Blackshear, including its address, specialty, and other relevant information, were last refreshed on 2011-08-02.
NPI Number: 1215930425
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