Organization
WILLIAM M BLACKSHEAR JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M BLACKSHEAR JR. MD (OWNER)
(727) 896-8149
Entity
Organization
Contact information
Practice address
7292 4TH ST N, SUITE B, ST PETERSBURG, FL 33702-5813
(727) 896-8149
(727) 823-8606
Mailing address
7292 4TH STREET NORTH, SUITE B, ST. PETERSBURG, FL 33702
(727) 896-8149
(727) 823-8606
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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