Carmelo J. Blanquicett, M.D.,PH.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME160693 Issued in FL

Practice address

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Phone

(813) 745-4673

Fax

(813) 449-6749

NPI assigned

Apr 18, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Internal Medicine

Education

Meharry Medical College School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer SCRN Ctr IncGroup PAC ID 2264337021, 1,145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• H Lee Moffitt Cancer Center & Research Institute I Hospital, Tampa, FL, CCN 100271

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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

• H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc

  • Hematology & Oncology Physician
  • Tampa, FL
  • NPI 1306833595
  Medicare reassignment Care Compare group NPD
• Starling Oncology FL, LLC

  • Medical Oncology Physician
  • St Petersburg, FL
  • NPI 1730142373

  Hematology & Oncology

  Medicare reassignment NPD
• Vaughan Physician Practices LLC

  • Cardiovascular Disease Physician
  • Selma, AL
  • NPI 1346679248

  Internal Medicine

  NPD (past)
• Vaughan Physician Practices LLC

  • Surgery Physician
  • Selma, AL
  • NPI 1407277460
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

  • Special Hospital
  • Tampa, FL
  • NPI 1780653618
  Care Compare affiliation

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1962846196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198441",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848441",
            "telephone_number": "813-745-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 USF MAGNOLIA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129416",
            "telephone_number": "813-745-4673",
            "fax_number": "813-449-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Gme Office 136 Jefferson Tower",
            "address_2": "625 19th Street South",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352496805",
            "country_code": "US",
            "telephone_number": "205-934-2490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6499 38th Ave N Ste G1",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337101658",
            "country_code": "US",
            "telephone_number": "727-381-3761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Emory University, DOM, 1841 Clifton Rd. NE",
            "address_2": "5th floor, suite 526",
            "address_purpose": "LOCATION",
            "city": "atlanta",
            "state": "GA",
            "postal_code": "30329",
            "country_code": "US",
            "telephone_number": "404-728-6906",
            "fax_number": "404-728-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANQUICETT",
        "first_name": "CARMELO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME160693",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "160693",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "78600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Faith Blanken, RBT
• Michelle L Blankenbaker, OTR/L
• Bailey Christine Blankenship, CNP
• Rachel Blankenship, RN
• Louellen Blankinship, SLP
• Jackson Blanton, MA, BCBA
• Blaq Pearl LLC
• Bethany Blascoe
• Elizabeth Blasi
• Maci L Blasik

• Hematology & Oncology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.