Individual
MRS. MERCEDES JACLYN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18002 RICHMOND PLACE DRIVE, TAMPA, FL 33647-1725
(813) 442-3414
Mailing address
18002 RICHMOND PLACE DRIVE, TAMPA, FL 33647-1725
(813) 442-3414
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9534454
FL
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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