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Provider Information for 1720016496

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

HARRY G BLACKSTONE DO

Gender: MALE

Individual NPI: 1720016496

Calendar   Last Updated:  2018-04-04
  Certification Date: 

Details

Name Value
NPI 1720016496
Enumeration Date 2006-06-29
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 7213 GREEN SLOPE DR
ZEPHYRHILLS, FL 33541-1306
United States

Phone: 813-355-4914 | Fax: 855-547-5415
View Map External Link
Primary Practice Address 7213 GREEN SLOPE DR
ZEPHYRHILLS, FL 33541-1306
United States

Phone: 813-355-4914 | Fax: 855-547-5415
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other BCBS FL 82451
Other RAILROAD MEDICARE 080149290
MEDICAID FL 040598100
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine FL OS4393