Individual
PROF. PHILLIP PIRGOUSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(904) 953-2489
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(904) 953-2489
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DTP520
FL
207Y00000X
Otolaryngology Physician
Primary
ME160983
FL
Other
Enumeration date
07/01/2009
Last updated
06/03/2025
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