# PHILLIPS, SALOMON & PARRISH, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316036791
- **Authorized official:** DR. BRAD R SALOMON OD (REGISTERED AGENT)
- **Authorized official phone:** (863) 299-8908

## Contact information

- **Practice address:** 1214 N BROADWAY AVE, BARTOW, FL 33830-3343
- **Practice address phone:** (863) 584-2020
- **Practice address fax:** (863) 299-1061
- **Mailing address:** 215 1ST ST N, WINTER HAVEN, FL 33881-4537
- **Mailing address phone:** (863) 299-8908
- **Mailing address fax:** (863) 299-1061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1963 | FL | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 02/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078873205 | — | FL |