PHILLIPS CAO

CALLAHAN, FL
NPI1891159745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME140356)
Enumeration Date2016-04-07
Last Update Date2019-06-18
Business Address
PHILLIPS CAO
450077 STATE ROAD 200 STE 12
CALLAHAN, FL 32011-3863
Phone number: 904-633-0561
Mailing Address
PHILLIPS CAO
120 HOBART ST
UTICA, NY 13501-4308
Phone number: 315-801-1149