Individual
DR. JOEL WAYNE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 DRUID RD E, CLEARWATER, FL 33756-3914
(727) 446-1097
(727) 441-2195
Mailing address
708 DRUID RD E, CLEARWATER, FL 33756-3914
(727) 446-1097
(727) 441-2195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0025848
FL
207K00000X
Allergy & Immunology Physician
Primary
ME0025848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038210800
—
FL
Enumeration date
08/30/2006
Last updated
02/02/2024
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