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Dr. William Maurice Blackshear JR., MD
Vascular Surgery Physician in St Petersburg, Florida
NPI 1619080793

William Maurice Blackshear JR. is a Vascular Surgery Physician based in St Petersburg, FL and is specialized in Vascular Surgery. William Maurice Blackshear JR. practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for William Maurice Blackshear JR. is 1619080793 and holds a License No. ME0035320 (Florida).

The current practice location address for William Maurice Blackshear JR. is 7292 4Th St N, St Petersburg, FL and can be reached out via phone at 727-896-8149 and via fax at 727-823-8606.

Location: 7292 4Th St N, St Petersburg, FL, 33702-5813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619080793
Provider Name
William Maurice Blackshear JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7292 4Th St N, St Petersburg, FL, 33702-5813
Phone Number
727-896-8149
Fax Number
727-823-8606
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038919600 05 FL
institution
Provider Business Practice Location Address Details
Address
7292 4Th St N
City
St Petersburg
State
Florida
Zip
33702-5813
Phone Number
727-896-8149
Fax Number
727-823-8606
person
Provider Business Mailing Address Details
Address
7292 4Th St N
City
St Petersburg
State
Florida
Zip
33702-5813
Phone Number
727-896-8149
Fax Number
727-823-8606
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
ME0035320 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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