Individual
JHALEIL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
161 HAMPTON POINT DR STE 3, SAINT AUGUSTINE, FL 32092-3058
(904) 287-9137
(904) 287-9057
Mailing address
161 HAMPTON POINT DR STE 3, SAINT AUGUSTINE, FL 32092-3058
(904) 287-9137
(904) 287-9057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5992
FL
152W00000X
Optometrist
OPT003263
GA
Other
Enumeration date
07/16/2020
Last updated
09/30/2021
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