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Organization
CLEARWATER FAMILY MEDICINE AND ALLERGY, PA
Active
Organization
CLEARWATER FAMILY MEDICINE AND ALLERGY, PA
Active
Other names
J. Wayne Phillips, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY RELLER MD (OWNER)
(727) 446-1097
Entity
Organization
Contact information
Practice address
708 DRUID RD E, CLEARWATER, FL 33756-3914
(727) 446-1097
(833) 941-2542
Mailing address
708 DRUID RD E, CLEARWATER, FL 33756-3914
(727) 446-1097
(833) 941-2542
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
NULL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/15/2010
Last updated
07/15/2025
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