Alfreda D. Blackshear, M.D.

LBN: Alfreda D. Blackshear, M.D.
Alfreda D. Blackshear, M.D. is an health care organization with primary practice located at 1215 Lee Ave , Tallahassee FL 32303-5850. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Alfreda D. Blackshear, M.D. can be contacted via phone (850) 878-0229, or through Blackshear, Alfreda D via phone (850) 878-0229.

Contact Information

Primary practice address
1215 Lee Ave Tallahassee FL 32303-5850
Phone: (850) 878-0229
Fax: (850) 942-5837
Website:
Map and Directions
Authorized official contact:
Name: Blackshear, Alfreda D Doctor of Medicine (MD)
Phone: (850) 878-0229

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME40463 Florida

Profile Details

NPI number 1861883753
LBN Legal business name Alfreda D. Blackshear, M.D.
DBA Doing business as
Authorized official Blackshear, Alfreda D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2015
Last updated Feb 12th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861883753 NPPES
Florida MEDICAID 0066873700

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