Provider Demographics
NPI:1285662064
Name:BLACKMAN, FRANCIS E (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:E
Last Name:BLACKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 CANOGA AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6568
Mailing Address - Country:US
Mailing Address - Phone:818-595-8180
Mailing Address - Fax:818-595-8206
Practice Address - Street 1:3550 BUSCHWOOD PARK DR
Practice Address - Street 2:SUITE 133
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4461
Practice Address - Country:US
Practice Address - Phone:818-595-8100
Practice Address - Fax:818-595-8206
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77130207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC55726Medicare UPIN