MEDICARE: KRISTEN PHILIP PA-C

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
1	363A00000X	Physician Assistant		FL

General Provider Information

NPI Number	:	1306727995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN PHILIP PA-C

Provider Business Mailing Address
First Line	:	PO BOX 100247
Second Line	:	3RD FLOOR
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0247
Country	:	US
Telephone Number	:	352-265-8240
Fax Number	:	352-273-7515

Provider Business Practice Location Address
First Line	:	1549 GALE LEMERAND DR FL 3
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-3008
Country	:	US
Telephone Number	:	352-265-8240
Fax Number	:	352-273-7515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	02/23/2026

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Directions to “ KRISTEN PHILIP PA-C” Practice Location

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