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
Phone: (813) 875-3950
Fax: (813) 876-0432
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164474615 | NPPES |
| Florida | MEDICAID | 069575100 | |
| Florida | Other | 62236 | |
| Florida | Other | P00679540 |
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