MEDICARE: DR. PETER WILLIAM BLUMENCRANZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME28921	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306845037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER WILLIAM BLUMENCRANZ MD

Provider Business Mailing Address
First Line	:	400 PINELLAS ST STE 200
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3312
Country	:	US
Telephone Number	:	727-462-2131
Fax Number	:	727-266-4914

Provider Business Practice Location Address
First Line	:	400 PINELLAS ST
Second Line	:	SUITE 200
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3312
Country	:	US
Telephone Number	:	727-462-2131
Fax Number	:	727-462-2115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	03/03/2022

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