Individual
DR. PAUL A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 782-8829
(813) 355-5099
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS9879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000482800
—
FL
01
—
P00669491
RR MEDICARE
FL
01
—
P00943872 - UCC
RAILROAD MEDICARE
FL
Enumeration date
09/02/2005
Last updated
10/09/2015
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