Individual
DR. JAMES A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
215 1ST ST N, STE.100, WINTER HAVEN, FL 33881-4537
(863) 299-8908
(863) 595-2838
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078550400
—
FL
Enumeration date
09/08/2005
Last updated
03/04/2022
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