Phillips, James A

Phillips, James A is an individual health care provider with primary practice located at 215 1St St N Ste.100, Winter Haven FL 33881-4537. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Phillips, James A can be contacted via phone (863) 299-8908.

Contact Information

Primary practice address
215 1St St N Ste.100 Winter Haven FL 33881-4537
Phone: (863) 299-8908
Fax: (863) 595-2838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2249 Florida

Profile Details

NPI number 1598759219
LBN Legal business name Phillips, James A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Mar 4th, 2022 - about 2 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 1598759219 NPPES
Florida MEDICAID 078550400

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