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Organization
ROBERT L. PHILLIPS, O.D., P.A.
Active
Organization
ROBERT L. PHILLIPS, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L. PHILLIPS O.D. (OWNER)
(904) 387-0025
Entity
Organization
Contact information
Practice address
1580 BLANDING BLVD, JACKSONVILLE, FL 32210-1834
(904) 387-0025
(904) 387-0969
Mailing address
1580 BLANDING BLVD, JACKSONVILLE, FL 32210-1834
(904) 387-0025
(904) 387-0969
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084322900
—
FL
05
—
084322901
—
FL
Enumeration date
03/06/2008
Last updated
04/09/2018
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