Individual
CAROL A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6128 S TAMIAMI TRL, SARASOTA, FL 34231-4029
(941) 923-5882
(941) 923-3836
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP1798082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001773000
—
FL
01
—
Y01TB
BCBS
FL
Enumeration date
10/28/2005
Last updated
06/19/2014
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