Individual
DR. THOMAS ANDREW PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
(407) 423-2789
Mailing address
9252 ROYAL ESTATES BLVD, ORLANDO, FL 32836-8907
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
ME123899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
II789Y
MEDICARE
FL
Enumeration date
10/21/2008
Last updated
10/30/2019
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