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Ms. Ellicene R Phillips, ARNP
Family Nurse Practitioner in Miami Shores, Florida
NPI 1912102492

Ellicene R Phillips is a Family Nurse Practitioner based in Miami Shores, FL and is specialized in Family. Ellicene R Phillips practices in Miami Shores, FL and has the professional credentials of ARNP. The NPI Number for Ellicene R Phillips is 1912102492 and holds a License No. (Florida).

The current practice location address for Ellicene R Phillips is 2000 Towerside Ter # 1410 # T2, Miami Shores, FL and can be reached out via phone at 786-390-8579.

Location: 2000 Towerside Ter # 1410 # T2, Miami Shores, FL, 33138-2244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912102492
Provider Name
Ellicene R Phillips
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
2000 Towerside Ter # 1410 # T2, Miami Shores, FL, 33138-2244
Phone Number
786-390-8579
Fax Number
Provider Enumeration Date
06/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30231760 05 FL
institution
Provider Business Practice Location Address Details
Address
2000 Towerside Ter # 1410 # T2
City
Miami Shores
State
Florida
Zip
33138-2244
Phone Number
786-390-8579
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Towerside Ter # 1410 # T2
City
Miami Shores
State
Florida
Zip
33138-2244
Phone Number
786-390-8579
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
446112 (Florida)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
(Florida)
Definition
Definition to come...
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