Individual
CHARLOTTE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1839 CENTRAL AVE, SAINT PETERBURG, FL 33713
(727) 820-1040
(727) 822-8081
Mailing address
1839 CENTRAL AVE, SAINT PETERSBURG, FL 33713-8900
(727) 820-1040
(727) 821-8081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9195703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015554300
—
FL
01
—
Y0S9H
FLORIDA BLUE
FL
Enumeration date
07/17/2015
Last updated
08/04/2022
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