Female

Carol A. Phillips ARNP

Primary Care Nurse Practitioner in Sarasota, FL(View on Map)

Full Name

Carol A Phillips ARNP

NPI Number

1548250608

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/28/2005

Specialties

(Taxonomies)

Code

363LP2300X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ARNP1798082

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 863407
6128 S TAMIAMI TRL

City

Orlando
Sarasota

State

FL
FL

Postal Code

32886-3407
34231-4029

Country

US
US

Telephone Number

(941) 917-2600
(941) 923-5882

Identifiers

Identifier

001773000
Y01TB

Identifier State

FL
FL

Identifier Issuer

Unknown
BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/19/2014

Provider Address

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