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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316255128 | NPPES |
| Florida | MEDICAID | 009813800 | |
| Florida | MEDICAID | 038210200 |
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