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Individual

WILLIAM SCOTT BLACKSHEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 VIA BELLA BLVD, SUITE 103, LAND O LAKES, FL 34639-5429
(813) 712-5700
(813) 712-5701
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-1255

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME99599
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279781000
FL
01
P00799229
RR MEDICARE
FL
Enumeration date
07/30/2007
Last updated
08/20/2015
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