J. Wayne Phillips, Md, Pa

LBN: Clearwater Family Medicine And Allergy, Pa
J. Wayne Phillips, Md, Pa is an health care organization with primary practice located at 708 Druid Rd E , Clearwater FL 33756-3914. The organization recently has 9 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty. Clearwater Family Medicine And Allergy, Pa can be contacted via phone (727) 446-1097, or through Lyon, Rachel via phone (727) 446-1097.

Contact Information

Primary practice address
708 Druid Rd E Clearwater FL 33756-3914
Phone: (727) 446-1097
Fax: (727) 441-2195
Website:
Map and Directions
Authorized official contact:
Name: Lyon, Rachel
Phone: (727) 446-1097

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Other Service Providers / Specialist 174400000X ME0025848 Florida
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Allergy 207KA0200X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obesity Medicine 2083B0002X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1316255128
LBN Legal business name Clearwater Family Medicine And Allergy, Pa
DBA Doing business as J. Wayne Phillips, Md, Pa
Authorized official Lyon, Rachel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2010
Last updated Jan 25th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316255128 NPPES
Florida MEDICAID 009813800
Florida MEDICAID 038210200

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