Provider Demographics
NPI:1346994415
Name:DOCS HOUSEBOAT CALLS INC LLC
Entity Type:Organization
Organization Name:DOCS HOUSEBOAT CALLS INC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-546-4532
Mailing Address - Street 1:900 CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-5411
Mailing Address - Country:US
Mailing Address - Phone:813-546-4532
Mailing Address - Fax:
Practice Address - Street 1:931 TOPPINO DR
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4269
Practice Address - Country:US
Practice Address - Phone:305-293-1801
Practice Address - Fax:305-293-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty