Individual
PHILIP SELWYN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 PABLO ST, LAKELAND, FL 33803-3818
(863) 284-5941
(863) 284-5199
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME0062977
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME62977
FL
Other
Enumeration date
06/21/2005
Last updated
07/20/2022
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