# CLEARWATER FAMILY MEDICINE AND ALLERGY, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J. Wayne Phillips, MD, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316255128
- **Authorized official:** KERRY RELLER MD (OWNER)
- **Authorized official phone:** (727) 446-1097

## Contact information

- **Practice address:** 708 DRUID RD E, CLEARWATER, FL 33756-3914
- **Practice address phone:** (727) 446-1097
- **Practice address fax:** (833) 941-2542
- **Mailing address:** 708 DRUID RD E, CLEARWATER, FL 33756-3914
- **Mailing address phone:** (727) 446-1097
- **Mailing address fax:** (833) 941-2542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 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