Organization
CLEARWATER FAMILY MEDICINE AND ALLERGY, PA
Active
Other names
J. Wayne Phillips, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY RELLER MD (OWNER)
(727) 446-1097
Entity
Organization
Contact information
Practice address
708 DRUID RD E, CLEARWATER, FL 33756-3914
(727) 446-1097
(833) 941-2542
Mailing address
708 DRUID RD E, CLEARWATER, FL 33756-3914
(727) 446-1097
(833) 941-2542
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009813800
—
FL
05
—
122965700
—
FL
Enumeration date
09/15/2010
Last updated
07/15/2025
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