Healthcare Provider Details

I. General information

NPI: 1952305302
Provider Name (Legal Business Name): WILLIAM PETER GRAPER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 ARLINGTON ST STE 103
SARASOTA FL
34239-3505
US

IV. Provider business mailing address

1569 OAK WAY
SARASOTA FL
34232-3452
US

V. Phone/Fax

Practice location:
  • Phone: 941-371-9710
  • Fax: 941-371-9713
Mailing address:
  • Phone: 941-371-9710
  • Fax: 941-371-9713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number039311
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: