Individual provider · NPI-1

Dr. Peter William Blumencranz, MD

Surgery · Clearwater, FL

NPI number1306845037
StatusActive
Last updated in NPPESMar 3, 2022

Details

NPI
1306845037
Entity type
Individual (NPI-1)
Name
Dr. Peter William Blumencranz
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 15, 2005
Certification date
Mar 3, 2022
Last updated
Mar 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryME28921FLYes

Practice location

400 Pinellas St
Suite 200
Clearwater, FL 33756-3312

Phone 727-462-2131 · Fax 727-462-2115

Mailing address

400 Pinellas St Ste 200
Clearwater, FL 33756-3312

Phone 727-462-2131 · Fax 727-266-4914

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