Individual
JONATHAN H. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3040
(321) 841-3049
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3040
(321) 841-3049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME64639
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME64639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374268700
—
FL
01
—
ME64639
MEDICAL LICENSE
FL
Enumeration date
01/23/2006
Last updated
11/10/2016
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