Provider Demographics
NPI:1952305302
Name:GRAPER, WILLIAM PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PETER
Last Name:GRAPER
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 1:1569 OAK WAY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-3452
Mailing Address - Country:US
Mailing Address - Phone:941-371-9710
Mailing Address - Fax:941-371-9713
Practice Address - Street 1:1880 ARLINGTON ST
Practice Address - Street 2:STE 103
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3505
Practice Address - Country:US
Practice Address - Phone:941-371-9710
Practice Address - Fax:941-371-9713
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL039311208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL53635SOtherBLUE CROSS/ BLUE SHIELD
FL53635SMedicare ID - Type Unspecified
FL53635SOtherBLUE CROSS/ BLUE SHIELD