| Alfreda D. Blackshear, M.D. | |
|
1215 Lee Ave Tallahassee FL 32303-5850 | |
| (850) 878-0229 | |
| (850) 942-5837 |
| Full Name | Alfreda D. Blackshear, M.D. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1215 Lee Ave, Tallahassee, Florida |
| Authorized Official Name and Position | Alfreda D Blackshear (OWNER) |
| Authorized Official Contact | 8508780229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfreda D. Blackshear, M.D. 1215 Lee Ave Tallahassee FL 32303-5850 Ph: (850) 878-0229 | Alfreda D. Blackshear, M.D. 1215 Lee Ave Tallahassee FL 32303-5850 Ph: (850) 878-0229 |
| NPI Number | 1861883753 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861883753 | NPI | - | NPPES |
| 0066873700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME40463 (Florida) | Primary |
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