Peter, Joseph Phillip

Peter, Joseph Phillip is an individual health care provider with primary practice located at 332 Medcrest Drive , Crestview FL 32536. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Peter, Joseph Phillip can be contacted via phone (850) 683-5100.

Contact Information

Primary practice address
332 Medcrest Drive Crestview FL 32536
Phone: (850) 683-5100
Fax: (850) 683-5102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME74916 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME74916 Florida

Profile Details

NPI number 1053343343
LBN Legal business name Peter, Joseph Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 10th, 2021 - about 5 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 1053343343 NPPES
Florida MEDICAID 255307400

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