DR. WILLIAM MAURICE BLACKSHEAR M.D. NPI 1619080793

NPI Information

DR. William Maurice Blackshear, M.D. is a vascular surgery surgery in St Petersburg, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. William Maurice Blackshear, M.D. NPI is 1619080793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7292 4TH ST N
SUITE B
ST PETERSBURG, FL
ZIP 33702-813
Phone: (727) 896-8149
Fax: (727) 823-8606

The NPI 1619080793 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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