Individual
MS. PAULA BERYL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
6910 OLD WOLF BAY RD, KIDS CARE PEDIATRICS, PA, PALATKA, FL 32177-6800
(386) 328-7337
Mailing address
6910 OLD WOLF BAY RD, KIDS CARE PEDIATRICS, PA, PALATKA, FL 32177-6800
(386) 328-7337
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP2609432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301680300
—
FL
Enumeration date
10/12/2005
Last updated
01/27/2011
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