Individual
JEFFREY M PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4340 NEWBERRY RD STE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(888) 974-6475
Mailing address
4340 NEWBERRY RD., SUITE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(888) 974-6475
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME118856
FL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
ME118856
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME118856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14V77
BCBS
FL
Enumeration date
07/02/2008
Last updated
04/17/2025
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