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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILLIPS CAO

Active

PHILLIPS CAO is a Family Medicine healthcare provider located in CALLAHAN, Florida. NPI 1891159745 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CALLAHAN, FL

Registration Details

NPI Number
1891159745
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2016 (10.329307093879 yrs)
Last Updated
Jun 18, 2019
License
ME140356 (FL)

Practice Information

Address
450077 STATE ROAD 200 STE 12
CALLAHAN, FL, 320113863
Browse FL providers · Browse ZIP 32011
Phone
9046330561
Fax
3158013565
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CALLAHAN, FL

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.