Organization
MARK B PHILLIPS M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PHILLIP M.D. (PRESIDENT)
(904) 396-5558
Entity
Organization
Contact information
Practice address
4545 EMERSON EXPRESSWAY, JACKSONVILLE, FL 32207
(904) 399-2600
Mailing address
PO BOX 10543, JACKSONVILLE, FL 32247-0543
(904) 396-5558
(904) 396-4279
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0047040
FL
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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