Organization
PHILLIPS,SALOMON & PARRISH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN F PHILLIPS OD (DIRECTOR)
(863) 299-8908
Entity
Organization
Contact information
Practice address
1040 CYPRESS PKWY, POINCIANA, FL 34759-3328
(407) 933-2088
(407) 933-1968
Mailing address
215 1ST ST N, SUITE 100, WINTER HAVEN, FL 33881-4537
(863) 299-8908
(863) 595-2838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078873200
—
FL
05
—
078873201
—
FL
05
—
078873202
—
FL
05
—
078873203
—
FL
05
—
078873204
—
FL
05
—
078873205
—
FL
05
—
078873206
—
FL
01
—
24518
MEDICARE PTAN
FL
01
—
24518A
MEDICARE PTAN
FL
01
—
24518B
MEDICARE PTAN
FL
Enumeration date
10/04/2010
Last updated
04/09/2013
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