Individual
JOSEPH PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2608
(352) 265-7999
Mailing address
PO BOX 918025, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME115192
FL
2080P0203X
Pediatric Critical Care Medicine Physician
N3994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009073900
—
FL
Enumeration date
03/01/2012
Last updated
08/15/2013
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