| Karen N Phillipps Md Pa | |
|
231 E Tillman Ave Lake Wales FL 33853-3792 | |
| (863) 679-9916 | |
| Not Available |
| Full Name | Karen N Phillipps Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 231 E Tillman Ave, Lake Wales, Florida |
| Authorized Official Name and Position | Karen Phillipps (OWNER / PROVIDER) |
| Authorized Official Contact | 8636799916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen N Phillipps Md Pa Po Box 23295 Tampa FL 33623-3295 Ph: () - | Karen N Phillipps Md Pa 231 E Tillman Ave Lake Wales FL 33853-3792 Ph: (863) 679-9916 |
| NPI Number | 1619902186 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1658277702 |
|---|---|
| Medicare Enrollment ID | O20031209001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619902186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME88539 (Florida) | Primary |
| Provider Name | Karen N Phillipps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487673901 PECOS PAC ID: 7810893963 Enrollment ID: I20031211000055 |
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