Phillips, Roy W

Phillips, Roy W is an individual health care provider with primary practice located at 446 Tamiami Trl S 2Nd Floor, Venice FL 34285-2630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Phillips, Roy W can be contacted via phone (941) 483-3319.

Contact Information

Primary practice address
446 Tamiami Trl S 2Nd Floor Venice FL 34285-2630
Phone: (941) 483-3319
Fax: (941) 483-3406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036108690 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2001018687 Missouri
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME106628 Florida

Profile Details

NPI number 1427065127
LBN Legal business name Phillips, Roy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Aug 8th, 2011 - about 15 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 1427065127 NPPES
Florida MEDICAID 002872900
Florida MEDICAID 0361086901
Florida Other DJ201Z

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