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NPI Code Detail

MEDICARE: DR. PAUL A PHILLIPS D.O.

MEDICARE: DR. PAUL A PHILLIPS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianOS9879FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00943872 - UCCOTHERFLRAILROAD MEDICARE
2P00669491OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548254717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL A PHILLIPS D.O.
Provider Business Mailing Address
First Line : 38135 MARKET SQ
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-7505
Country : US
Telephone Number : 813-528-4975
Fax Number :
Provider Business Practice Location Address
First Line : 38135 MARKET SQ
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-7505
Country : US
Telephone Number : 813-782-8829
Fax Number : 813-355-5099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 10/09/2015

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Directions to “ DR. PAUL A PHILLIPS D.O.” Practice Location

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