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General NPI Number Information
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NPI Number | 1245191923
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Entity Type | Organization
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Legal Business Name | FUEL MEDICAL PLLC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 2835 W DE LEON ST STE 203
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City | TAMPA
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State | FL
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Zip | 33609-4130
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Country | US
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Telephone | 813-572-3835
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Fax |
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Provider Business Mailing Address
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Address Line | 2835 W DE LEON ST STE 203
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City | TAMPA
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State | FL
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Zip | 33609-4130
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Country | US
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Telephone | 813-572-3835
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN PHILLIPS
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Credential | MD
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Telephone | 347-813-0535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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