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Organization
JEFFREY D. PHILLIPS, O.D., P.A.
Active
Organization
JEFFREY D. PHILLIPS, O.D., P.A.
Active
Other names
Lifetime Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DEAN PHILLIPS O.D. (PRESIDENT)
(727) 345-4035
Entity
Organization
Contact information
Practice address
1903 TYRONE BOULEVARD N, SAINT PETERSBURG, FL 33710-4841
(727) 345-4035
(727) 384-3112
Mailing address
1903 TYRONE BOULEVARD N, SAINT PETERSBURG, FL 33710-4841
(727) 345-4035
(727) 384-3112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620359100
—
FL
Enumeration date
09/28/2006
Last updated
11/10/2009
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