Phillips, Jacob Eugene

Phillips, Jacob Eugene is an individual health care provider with primary practice located at 40 Alexandria Blvd Ste. 1030, Oviedo FL 32765-3300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Phillips, Jacob Eugene can be contacted via phone (321) 765-4373.

Contact Information

Primary practice address
40 Alexandria Blvd Ste. 1030 Oviedo FL 32765-3300
Phone: (321) 765-4373
Fax: (407) 542-0666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105852 Florida

Profile Details

NPI number 1306140017
LBN Legal business name Phillips, Jacob Eugene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2011
Last updated Mar 15th, 2016 - about 8 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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