SANDRA GAUTIER BLACKMAN

TAMPA, FL
NPI1710551478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9114259)
Additional Taxonomies2086X0206X Surgery, Surgical Oncology
(Licence: FL  PA9114259)
Enumeration Date2021-05-18
Last Update Date2025-09-19
Business Address
SANDRA GAUTIER BLACKMAN PA-C
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4673
Mailing Address
SANDRA GAUTIER BLACKMAN PA-C
PO BOX 198441
ATLANTA, GA 30384-8441
Phone number: 813-745-4673