Dr. Rafael William Blanco
Medical Oncology Hematology & Oncology
3402 W Dr Martin Luther King Jr Blvd
Tampa
, Florida 33607-6214
Dr. Rafael William Blanco
Medical Oncology Hematology & Oncology
3402 W Dr Martin Luther King Jr Blvd
Tampa
, Florida 33607-6214
(239) 278-3350
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About
Features
Specialties
- Hematology & Oncology
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Rafael William Blanco
- 4371 Veronica S Shoemaker Blvd Attn: Credential Department
- Fort Myers, FL
- Zip : 33916-2216
- Fax : (239) 278-3350
- Phone : (239) 274-8200
Second Address
- Dr. Rafael William Blanco
- 3402 W Dr Martin Luther King Jr Blvd
- Tampa, FL
- Zip : 33607-6214
- Fax : (813) 876-0432
- Phone : (813) 875-3950
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RH0003X | Hematology & Oncology | ME30523 | FL |
| Y | 207RX0202X | Medical Oncology | ME30523 | FL |
National Provider Identifier
| NPI | 1164474615 |
|---|---|
| Provider Name | Dr. Rafael William Blanco |
| First Address | Fort Myers, FL 33916-2216 |
| Second Address | Tampa, FL 33607-6214 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 02/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 069575100 | (05) | FL |
| 62236 | BLUE CROSS BLUE SHIELD (01) | FL |
| D65316 | (02) | |
| P00679540 | RR MEDICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.