Blanco, Rafael William

Blanco, Rafael William is an individual health care provider with primary practice located at 3402 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Blanco, Rafael William can be contacted via phone (813) 875-3950.

Contact Information

Primary practice address
3402 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6214
Fax: (813) 876-0432
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME30523 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME30523 Florida

Profile Details

NPI number 1164474615
LBN Legal business name Blanco, Rafael William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 2nd, 2022 - about 3 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 1164474615 NPPES
Florida MEDICAID 069575100
Florida Other 62236
Florida Other P00679540

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