Individual
CHRISTINA SARA PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12470 TELECOM DRIVE, STE 300W, TEMPLE TERRACE, FL 33637
(813) 871-8111
Mailing address
12470 TELECOM DRIVE, STE 300W, TEMPLE TERRACE, FL 33637
(813) 871-8111
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OS11963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016318900
—
FL
01
—
151N4
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/17/2011
Last updated
08/06/2019
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