| NPI | 1316255128 |
|---|---|
| Former Legal Business Name | J. WAYNE PHILLIPS, MD, PA |
| Entity Type | Organization |
| Authorized Contact | RACHEL LYON Office Manager 727-446-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207Q00000X Family Medicine | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2024-08-19 |