Phillips, Carol A

Phillips, Carol A is an individual health care provider with primary practice located at 6128 S Tamiami Trl , Sarasota FL 34231-4029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Phillips, Carol A can be contacted via phone (941) 923-5882.

Contact Information

Primary practice address
6128 S Tamiami Trl Sarasota FL 34231-4029
Phone: (941) 923-5882
Fax: (941) 923-3836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP1798082 Florida

Profile Details

NPI number 1548250608
LBN Legal business name Phillips, Carol A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jun 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548250608 NPPES
Florida MEDICAID 001773000
Florida Other Y01TB

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