Phillips, Jordan Dean

Phillips, Jordan Dean is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-4418. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Phillips, Jordan Dean can be contacted via phone (352) 273-8610.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-4418
Phone: (352) 273-8610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X ME161545 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME161545 Florida

Profile Details

NPI number 1568969442
LBN Legal business name Phillips, Jordan Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2018
Last updated Aug 31st, 2023 - about last year

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 1568969442 NPPES
Florida MEDICAID 118393100

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