Blackshear, William Maurice

Blackshear, William Maurice is an sole proprietor health care provider with primary practice located at 7292 4Th St N Suite B, St Petersburg FL 33702-5813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Blackshear, William Maurice can be contacted via phone (727) 896-8149.

Contact Information

Primary practice address
7292 4Th St N Suite B St Petersburg FL 33702-5813
Phone: (727) 896-8149
Fax: (727) 823-8606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME0035320 Florida

Profile Details

NPI number 1619080793
LBN Legal business name Blackshear, William Maurice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Aug 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619080793 NPPES
Florida MEDICAID 038919600

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