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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 18, 2024 4:08 AM CDT
Next Update: Saturday, May 18, 2024 12:00 PM CDT

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BLACKSTOCK, MELANIE RUSSELL       
Practice Address: 3100 E FLETCHER AVE
TAMPA FL 33613

Address last updated on 5/8/2023
Phone #: (813) 971-6000
Fax #:
County: NOT OKLAHOMA
License: 17647
Dated: 6/22/1991
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1987
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
First Health
Great West Healthcare
HealthChoice
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PPO Oklahoma
Preferred Community Choice
SoonerCare HMO
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
3100 E FLETCHER AVE
TAMPA FL 33613

Phone #: (813) 971-6000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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