Devane, Philip Todd

Devane, Philip Todd is an individual health care provider with primary practice located at 1132 S 14Th St , Fernandina Beach FL 32034-2920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Devane, Philip Todd can be contacted via phone (904) 432-3061.

Contact Information

Primary practice address
1132 S 14Th St Fernandina Beach FL 32034-2920
Phone: (904) 432-3061
Fax: (904) 432-3062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 68561 Florida

Profile Details

NPI number 1538150891
LBN Legal business name Devane, Philip Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jun 9th, 2023 - about 2 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 1538150891 NPPES
Florida Other L0704 MEDICARE PIN
Florida Other 27400 MEDICARE PIN

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