Individual
DR. BRUCE W. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9960 CENTRAL PARK BLVD N, SUITE 100, BOCA RATON, FL 33428-1759
(561) 226-4180
(561) 226-4199
Mailing address
9960 CENTRAL PARK BLVD N, SUITE 100, BOCA RATON, FL 33428-1759
(561) 226-4180
(561) 226-4199
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME 50838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03999
BCBS OF FL
FL
05
—
046524100
—
FL
01
—
052EV1
EMPIRE BCBS
NY
01
—
052EV2
EMPIRE BCBS
NY
01
—
0544936
CIGNA
FL
01
—
05717
DIMENSION HEALTH
FL
01
—
1029466
WELLCARE
FL
01
—
204369
AVMED
FL
01
—
5402697
AETNA
FL
01
—
P0003198
FLORIDA HEALTHCARE PLUS
FL
01
—
P01269
FREEDOM HEALTH
FL
01
—
P01318677
RR MEDICARE
FL
01
—
P510999
OPTIMUM
FL
Enumeration date
07/05/2005
Last updated
04/19/2016
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