Individual
DR. BARNELL PHILLIPS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 N. 29TH AVENUE, HOLLYWOOD, FL 33020
(954) 276-3400
(954) 965-6444
Mailing address
3400 N. 29TH AVENUE, HOLLYWOOD, FL 33020
(954) 276-3400
(954) 965-6444
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
010242342
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945573
—
VA
01
—
P00677923
MEDICARE RAILROAD
VA
Enumeration date
03/21/2007
Last updated
11/25/2013
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