Individual
MARIE B PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16101 BAREWOOD LN, SANFORD, FL 32771-7394
(904) 860-4536
Mailing address
16101 BAREWOOD LN, SANFORD, FL 32771-7394
(904) 860-4536
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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