Phillips, Raymond W

Phillips, Raymond W is an individual health care provider with primary practice located at 1064 Goodlette Rd N , Naples FL 34102-5449. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Phillips, Raymond W can be contacted via phone (239) 649-1186.

Contact Information

Primary practice address
1064 Goodlette Rd N Naples FL 34102-5449
Phone: (239) 649-1186
Fax: (239) 649-1156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME59041 Florida

Profile Details

NPI number 1437155231
LBN Legal business name Phillips, Raymond W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Oct 24th, 2016 - about 9 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 1437155231 NPPES
Florida MEDICAID 054684400

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