Phillips, Ellicene R

Phillips, Ellicene R is an sole proprietor health care provider with primary practice located at 2000 Towerside Ter # 1410 # T2 , Miami Shores FL 33138-2244. She recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Phillips, Ellicene R can be contacted via phone (786) 390-8579.

Contact Information

Primary practice address
2000 Towerside Ter # 1410 # T2 Miami Shores FL 33138-2244
Phone: (786) 390-8579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 446112 Florida

Profile Details

NPI number 1912102492
LBN Legal business name Phillips, Ellicene R
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2007
Last updated Jun 16th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912102492 NPPES
Florida MEDICAID 30231760

Popular Providers