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Individual

DR. DAVID E PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
249 MACK BAYOU LOOP, SUITE 201, SANTA ROSA BEACH, FL 32459-7198
(850) 608-6288
(850) 608-6236
Mailing address
249 MACK BAYOU LOOP, SUITE 201, SANTA ROSA BEACH, FL 32459-7198
(850) 608-6288
(850) 608-6236

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME0085367
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME0085367
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
264901200
FL
Enumeration date
12/13/2005
Last updated
05/18/2015
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