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Individual

DANIEL SCOTT PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
12479 TELECOM DR, TEMPLE TERRACE, FL 33637-0913
(813) 972-4199
(813) 972-5753

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9198217
FL
363LF0000X
Family Nurse Practitioner
ARNP9198217
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002923800
FL
Enumeration date
11/03/2010
Last updated
05/21/2014
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