Individual provider Active NPI

Wilfredo Blasini, M.D.

  • Clinical Pathology Physician
  • Fort Myers, FL
National Provider Identifier
1902008170
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
License
ME102349 Issued in FL
Practice address
2848 Center Pointe Dr Ste a
Fort Myers, FL 33916-9521
Phone
(239) 561-9622
Fax
(239) 768-5297
NPI assigned
Jun 1, 2007
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 18357 PR
Hematology (Pathology) Physician 207ZH0000X ME102349 FL
Clinical Pathology Physician 207ZC0006X ME102349 FL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 18357 PR
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME102349 FL
General Practice Physician 208D00000X ME102349 FL
General Practice Physician 208D00000X 18357 PR

Addresses

Primary practice location

2848 Center Pointe Dr Ste a
Fort Myers, FL 33916-9521

Mailing address

PO Box 102222
Attn: Credential Dept
Atlanta, GA 30368-2222
Phone (239) 274-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000804 FL Practitioner - Pathology 8325225238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2848 Ctr Pointe Dr
FL 1
Fort Myers, FL 33916-9521
Phone (239) 561-9622

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18563NVMDPharmacist
ME102349FLMDClinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Laboratories, LLC CurrentSince Nov 1, 2011 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Clinical Pathology CurrentSince Jan 1, 2012 Accepting new patients
American Oncology Partners, P.a. PastSince Sep 15, 2024 Accepting new patients
A. Scott Dansky MD PA Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
American Oncology Partners, P.a. PastSince Aug 17, 2019 Accepting new patients

Locations

12751 Westlinks Dr
Ste 3
Fort Myers, FL 33913
Phone (239) 561-9622

2848 Center Pointe Dr
Fl First
Fort Myers, FL 33916
Phone (239) 561-9622

2848 Center Pointe Dr
Ste A
Fort Myers, FL 33916
Phone (239) 561-9622

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

3250 NE 1st Ave
Ste 305
Miami, FL 33137
Phone (305) 303-5796

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1902008170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "address_2": "ATTN: CREDENTIAL DEPT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 CENTER POINTE DR STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169521",
            "telephone_number": "239-561-9622",
            "fax_number": "239-768-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASINI",
        "first_name": "WILFREDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "PR",
            "license": "18357",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "FL",
            "license": "ME102349",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "FL",
            "license": "ME102349",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "18357",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME102349",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME102349",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.