1 CURRICULUM VITAE William M. Blackshear, Jr., M.D

CURRICULUM VITAE William M. Blackshear, Jr., M.D. Address Office: 7292 Fourth Street North Suite B St. Petersburg, Florida 33702 Telephone: 727-896-8149 Facsimile: 727-823-8606 Home: 107 Windward Island Clearwater, Florida 33767 Telephone: 727-443-1931 Date of Birth February 21, 1945 Andalusia, Alabama Marital Status Married - Toni Thompson Behr 2014 Children - William Scott 12/06/74 Matthew Thomas 05/05/76 Steven Michael 11/28/77 Amy Suzanne 10/02/79 Education Bay County High School 1962 Panama City, Florida Duke University--B.S., Chemistry 1966 Durham, North Carolina Tulane University School of Medicine - M.D. 1970 New Orleans, Louisiana Postgraduate Medical Education Internship, General Surgery 1970-71 Denver General Hospital 1 Denver, Colorado Residency, General Surgery 1973-77 Tulane University Affiliated Hospitals New Orleans, Louisiana Fellowship, Vascular Surgery 1977-79 University of Washington Hospitals Seattle, Washington Academic Appointments Instructor (Resident) in Surgery 1973-77 Tulane University Affiliated Hospitals New Orleans, Louisiana Assistant Professor of Surgery 1979-83 Associate Professor of Surgery 1983-92 Chief, Peripheral Vascular Surgery 1979-89 University of South Florida Tampa, Florida Chief, Peripheral Vascular Surgery 1979-89 James A. Haley Veterans Administration Medical Center Tampa, Florida Hospital Appointments Attending Surgeon 1979-2004 Tampa General Hospital Tampa, Florida Attending Surgeon 1979-89 Chief, Peripheral Vascular Surgery James A. Haley Veterans Administration Medical Center Tampa, Florida Consulting Surgeon, Peripheral 1979-92 Vascular Surgery USAF Regional Hospital, MacDill MacDill Air Force Base, Florida Attending Surgeon 1980-88 University Community Hospital Tampa, Florida Attending Surgeon 1984-88 2 Memorial Hospital Tampa, Florida Consulting Surgeon 1985-93 Bay Pines Veterans Administration Medical Center Bay Pines, Florida Attending Surgeon 1992-2002 Director, Vascular Care Center 1992-2000 Largo Medical Center Largo, Florida Attending Surgeon 1994-2002 HealthSouth Rehabilitation Hospital Largo, Florida Attending Surgeon 1994-2002 Mease Hospital Dunedin, Florida Attending Surgeon 1995-2008 SunCoast Hospital (closed) Largo, Florida Attending Surgeon 1995-99 Columbia Clearwater Community Hospital Clearwater, Florida Attending Surgeon 1996-97 Columbia University General Hospital Seminole, Florida Attending Surgeon 1996-2000 Columbia St. Petersburg Medical Center St. Petersburg, Florida Attending Surgeon 1997- Northside Hospital St. Petersburg, Florida Attending Surgeon 1997-2002 Edward White Hospital St. Petersburg, Florida Military Experience Medical Officer, USN MCB-5 1971-72 Service in Far East 3 Medical Officer, U.S. Naval Academy 1972-73 Annapolis, Maryland Certification by Specialty Boards Louisiana State Board of 1970 Medical Examiners National Board of Medical Examiners 1971 American Board of Surgery 1978 General Surgery American Board of Surgery 1984 Special Qualifications in General Vascular Surgery American Board of Surgery 1988 General Surgery Recertification American Board of Surgery 1993 General Vascular Surgery Recertification American Board of Surgery 1998 General Surgery Recertification American Board of Surgery 2003 General Vascular Surgery Recertification American Board of Surgery 2007 General Surgery Recertification American Board of Bariatric Medicine 2010 Licensure State of Louisiana-By examination 1970 State of Washington-By examination 1977 (National Boards) State of Florida-By examination 1979 (National Boards) State of Georgia-By examination 2006 (National Boards) State of Nebraska-By examination 2006 (National Boards) State of Arizona-By examination 2006 (National Boards) State of Minnesota—By examination 2006 (National Boards) State of Iowa—By examination 2006 (National Boards) State of Alabama—By examination 2007 (National Boards) State of Pennsylvania-By examination 2007 (National Boards) Awards Phi Beta Kappa 1966 4 Alpha Omega Alpha 1970 United States Navy Achievement Award 1972 Tulane University Owl Club Resident Teaching Award 1977 Professional and Honorary Societies Phi Beta Kappa 1966 Nu Sigma Nu Medical Fraternity 1966 Alpha Omega Alpha 1970 Candidate, American College of Surgeons 1975-82 Alton Ochsner Surgical Society 1977 Southeastern Surgical Congress 1977 University of South Florida College of Medicine Faculty Association 1979 Hillsborough County Medical Association 1979 Florida Medical Association 1979 Association for Academic Surgery 1979 International Society for Cardiovascular Surgery-American Association for Vascular Surgery 1980 Peripheral Vascular Surgery Society 1980 Florida Association of General Surgeons 1980 Florida Association for Nutritional Support 1981 Society for Clinical Vascular Surgery 1982 Fellow, American College of Surgeons 1982 Southern Association for Vascular Surgery 1983 Fellow, American College of Angiology 1983 American Institute of Ultrasound in Medicine 1984 Florida Vascular Society - Founding Member 1987 Tulane Surgical Society - Founding Member 1990 Society for Vascular Surgery 1990 Distinguished Fellow 2004 International Society for Endovascular Surgery 1993 Society for Vascular Nursing 2003 American Society of Bariatric Physicians 2006 Major Committees University House Staff & Student Surgical 1979-83 Education Committee (Chairman) University of South Florida Committee on Goals and Issues 1980 University of South Florida College of Medicine Faculty Association 5 Executive Council 1981-82 University of South Florida College of Medicine USF Medical Clinics Answering Service 1981-83 Committee Search Committee - Orthopaedics Chairman 1982 University of South Florida College of Medicine Computer Council 1982 University of South Florida College of Medicine Medical Advisory Committee 1985-87 University of South Florida College of Medicine Search Committee for Urology 1985-86 Division Director University of South Florida College of Medicine Hospital Pharmacy and Therapeutics Committee 1980-81 James A. Haley Veterans Administration Medical Center Tampa, Florida Disaster Committee 1980-81 James A. Haley Veterans Administration Medical Center Tampa, Florida Hyperalimentation Committee 1979-86 Tampa General Hospital Chairman Tampa, Florida Medical Records and Audit Committee 1980-81 Tampa General Hospital Tampa, Florida Surgical Care Evaluation Committee 1994-98 Columbia/HCA Medical Center Hospital Largo, Florida Medical Advisory Committee 1996-97 Palm Gardens Rehabilitation Hospital Largo, Florida 6 Surgical Peer Review Committee 1998-2000 Columbia St. Petersburg General Hospital St. Petersburg, Florida Endovascular Committee 2000-2005 Northside Hospital St. Petersburg, Florida Credentials Committee 2003-2004 Northside Hospital St. Petersburg, Florida Local Membership Development Committee 1985-86 Hillsborough County Medical Association Tampa, Florida Board of Directors 1986-93 Museum of Science & Industry Tampa, Florida Executive Committee, 1988 Museum of Science & Industry Tampa, Florida Member, Long Range Planning Committee 1986-91 Museum of Science and Industry Tampa, Florida Participant, Task Force for 1986 Internationalizing the Tampa Bay Area in the 1980's, European Tour, April 12-26 Board of Directors 1986-92 Hillsborough Region of the American Heart Assn. Tampa, Florida Executive Council 1989 President-Elect 1989-91 President 1991-92 Team Leader, Capital Campaign Committee 1993-94 Museum of Science and Industry Tampa, Florida Member, Sports Foundation 1997-2001 St. Petersburg/Clearwater, Florida 7 Board of Directors, Pinellas Youth Symphony 1999- Pinellas County, Florida Board of Directors, Upper Pinellas Association 2001- for Retarded Citizens Foundation Clearwater, Florida Additional Scholarly, Research, or Administrative Experience Director, Peripheral Vascular Laboratory 1979-92 University of South Florida Medical Center Tampa, Florida Director, Executive Committee 1980-82 University of South Florida College of Medicine Faculty Association Tampa, Florida Director-at-Large 1980-82 University Medical Service Assn. University of South Florida College of Medicine Tampa, Florida Secretary/Treasurer, Executive Council 1981-82 University Medical Service Association University of South Florida College of Medicine Tampa, Florida Secretary, University of South Florida 1981-82 College of Medicine Faculty Association Tampa, Florida Medical Director, 1984-92 Tampa Bay Vascular Diagnostic Center Tampa, Florida Medical Director, 1992-2000 Vascular Care Center Columbia/HCA Largo Medical Center Largo, Florida Medical Director, 1997- Vascular Diagnostic Center, Inc. St. Petersburg, Florida President, Chief Executive Officer and 1999- Medical Director 8 Tri-Med Management, Inc. St. Petersburg, Florida Member, Board of Directors and Corporate 2005-2007 Medical Director Medi WeightLoss Clinics, LLC Tampa, Florida Member, Board of Directors and President, 2006-2009 Executive Committee Florida Genetics, LLC St. Petersburg, Florida Medical Director 2007- Prescription Weight Loss Clinic St. Petersburg/Belleair Bluffs, Florida Managing Member, 2008- Prescription Health Network Tampa, Florida State, Regional, National Offices President, Florida Association for Nutritional Support 1984-85 Executive Council, Florida Association for Nutritional Support 1984-87 Member, Blue Cross/Blue Shield of Florida Medical Advisory Committee 1984-85 Member, Blue Cross/Blue Shield Panel of Physicians 1984-85 Abstract Editor, Journal of Vascular Surgery 1987 Secretary/Treasurer Florida Vascular Society 1987-90 President-Elect, Florida

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