Individual
JEFFREY DEAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1903 TYRONE BLVD N, SAINT PETERSBURG, FL 33710-4841
(727) 345-4035
(727) 384-3112
Mailing address
1903 TYRONE BLVD., SAINT PETERSBURG, FL 33710
(727) 345-4035
(727) 384-3112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078676400
—
FL
05
—
122762700
—
FL
Enumeration date
12/29/2005
Last updated
03/04/2026
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