| Doyle C Phillips Md Pa | |
|
631 Ne 25th Ave Ocala FL 34470-7033 | |
| (352) 237-8889 | |
| (352) 237-9583 |
| Full Name | Doyle C Phillips Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 631 Ne 25th Ave, Ocala, Florida |
| Authorized Official Name and Position | Doyle Claude Phillips (PRESIDENT) |
| Authorized Official Contact | 3522378889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doyle C Phillips Md Pa 631 Ne 25th Ave Ocala FL 34470-7033 Ph: (352) 237-8889 | Doyle C Phillips Md Pa 631 Ne 25th Ave Ocala FL 34470-7033 Ph: (352) 237-8889 |
| NPI Number | 1184912123 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 07/12/2011 |
| Medicare PECOS PAC ID | 4880862424 |
|---|---|
| Medicare Enrollment ID | O20110726000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184912123 | NPI | - | NPPES |
| 252414700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME64161 (Florida) | Primary |
| Provider Name | Doyle C Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669478467 PECOS PAC ID: 4789698242 Enrollment ID: I20060203000495 |
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