MEDICARE: DR. DOYLE CLAUDE PHILLIPS JR. MD

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	207Q00000X	Family Medicine Physician	ME64161	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26424	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669478467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOYLE CLAUDE PHILLIPS JR. MD

Provider Business Mailing Address
First Line	:	631 NE 25TH AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-7033
Country	:	US
Telephone Number	:	352-237-8889
Fax Number	:	352-237-9583

Provider Business Practice Location Address
First Line	:	631 NE 25TH AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-7033
Country	:	US
Telephone Number	:	352-237-8889
Fax Number	:	352-237-9583

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	08/28/2008

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