Individual
PHILLIP W DEVOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 AIRPORT BLVD, MELBOURNE, FL 32901-2946
(321) 951-2709
(321) 952-2829
Mailing address
1515 AIRPORT BLVD, MELBOURNE, FL 32901-2946
(321) 951-2709
(321) 952-2829
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME0027668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46102
BLUE CROSS BS PROVIDER #
FL
Enumeration date
06/16/2005
Last updated
07/10/2008
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