Individual
DR. WILLIAM MAURICE BLACKSHEAR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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 ST N, SUITE B, ST PETERSBURG, FL 33702-5813
(727) 896-8149
(727) 823-8606
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME0035320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038919600
—
FL
Enumeration date
08/16/2006
Last updated
08/02/2011
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