MEDICARE: TWYLA PHILIPS AP

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	171100000X	Acupuncturist	1649	FL

General Provider Information

NPI Number	:	1518115633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TWYLA PHILIPS AP

Provider Business Mailing Address
First Line	:	8201 MAPLECREST PLACE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1527
Country	:	US
Telephone Number	:	813-732-3122
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 W COLUMBUS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1869
Country	:	US
Telephone Number	:	813-341-5100
Fax Number	:

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

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	09/03/2008

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Directions to “ TWYLA PHILIPS AP” Practice Location

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