Individual
JANE J PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
316 DEL PRADO BLVD S, STE. 201, CAPE CORAL, FL 33990-1710
(239) 829-7102
(239) 829-7104
Mailing address
316 DEL PRADO BLVD S, STE. 201, CAPE CORAL, FL 33990-1710
(239) 829-7102
(239) 829-7104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3707
FL
Other
Enumeration date
11/17/2005
Last updated
04/02/2010
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