Individual
MR. JOHN H PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
799 W LUMSDEN RD, BRANDON, FL 33511-6261
(813) 684-1199
(813) 685-2623
Mailing address
799 W LUMSDEN RD, BRANDON, FL 33511-6261
(813) 684-1199
(813) 685-2623
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101222
FL
Other
Enumeration date
06/23/2006
Last updated
05/12/2014
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