Phillips, Charles Edward

Phillips, Charles Edward is an sole proprietor health care provider with primary practice located at 2035 Professional Ctr Dr Ste C, Orange Park FL 32073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Phillips, Charles Edward can be contacted via phone (904) 272-0384.

Contact Information

Primary practice address
2035 Professional Ctr Dr Ste C Orange Park FL 32073
Phone: (904) 272-0384
Fax: (904) 272-6748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME32937 Florida

Profile Details

NPI number 1134187230
LBN Legal business name Phillips, Charles Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Jan 20th, 2010 - about 14 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 1134187230 NPPES
Florida MEDICAID 037423700

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