# PHILLIPS, SALOMON & PARRISH, PA

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

## Provider details

- **NPI number:** 1730242041
- **Authorized official:** DR. BRAD R SALOMON O.D. (REGISTERED AGENT)
- **Authorized official phone:** (863) 299-8908

## Contact information

- **Practice address:** 119 PATTERSON RD, HAINES CITY, FL 33844-7803
- **Practice address phone:** (863) 419-1300
- **Practice address fax:** (863) 595-2838
- **Mailing address:** 215 1ST ST N, SUITE 100, WINTER HAVEN, FL 33881-4537
- **Mailing address phone:** (863) 299-8908
- **Mailing address fax:** (863) 595-2838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 02/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078873206 | — | FL |
