Individual
ALFREDA DOUGLANE BLACKSHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LEE AVENUE, TALLAHASSEE, FL 32303
(850) 878-0229
(850) 942-5837
Mailing address
1215 LEE AVENUE, TALLAHASSEE, FL 30303
(850) 878-0229
(850) 942-5837
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
668737
—
FL
Enumeration date
08/30/2006
Last updated
05/17/2013
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