Organization
FUEL MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PHILLIPS MD (PRESIDENT)
(347) 813-0535
Entity
Organization
Contact information
Practice address
2835 W DE LEON ST STE 203, TAMPA, FL 33609-4130
(813) 572-3835
Mailing address
2835 W DE LEON ST STE 203, TAMPA, FL 33609-4130
(813) 572-3835
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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