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NPI Code Detail

MEDICARE: DR. AMY MASON PHILLIPS M.D.

MEDICARE:  DR. AMY MASON PHILLIPS  M.D.
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
1208000000XPediatrics PhysicianME 127450FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831427939
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY MASON PHILLIPS M.D.
Provider Business Mailing Address
First Line : 1919 W SWANN AVE FL 2
Second Line :
City : TAMPA
State : FL
Zip : 33606-2417
Country : US
Telephone Number : 813-254-7079
Fax Number :
Provider Business Practice Location Address
First Line : 1919 W SWANN AVE
Second Line : 2ND FLOOR
City : TAMPA
State : FL
Zip : 33606-2417
Country : US
Telephone Number : 813-254-7079
Fax Number : 813-443-8164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2009
Last Update Date : 10/17/2022

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Directions to “ DR. AMY MASON PHILLIPS M.D.” Practice Location

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