Pybass, Phillip Ashley

Pybass, Phillip Ashley is an individual health care provider with primary practice located at 1005 Mar Walt Drive Internal Medicine Department, Fort Walton Beach FL 32547-6796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pybass, Phillip Ashley can be contacted via phone (850) 863-8100.

Contact Information

Primary practice address
1005 Mar Walt Drive Internal Medicine Department Fort Walton Beach FL 32547-6796
Phone: (850) 863-8100
Fax: (850) 862-6148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00022083 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME111399 Florida

Profile Details

NPI number 1255355731
LBN Legal business name Pybass, Phillip Ashley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 19th, 2011 - about 13 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 1255355731 NPPES
Alabama Other 510-04721 BLUE CROSS
Alabama MEDICAID 009910483 BLUE CROSS

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