Organization
BRUCE W PHILLIPS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE W PHILLIPS MD (PRESIDENT)
(561) 347-8001
Entity
Organization
Contact information
Practice address
3651 FAU BLVD, SUITE 100, BOCA RATON, FL 33431-6489
(561) 347-8001
(561) 347-8015
Mailing address
5800 NW 22ND AVE, BOCA RATON, FL 33496-3478
(561) 347-8001
(561) 347-8015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0050838
FL
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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