Marie B Phillip
Contractor in Sanford, FL. Individual provider (NPI-1).
NPI number1770874653
StatusActive
Last updated in NPPESApr 26, 2011
Details
- NPI
- 1770874653
- Entity type
- Individual (NPI-1)
- Name
- Marie B Phillip
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2011
- Last updated
- Apr 26, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
16101 Barewood LnSanford, FL 32771-7394
Phone 904-860-4536
Mailing address
16101 Barewood LnSanford, FL 32771-7394
Phone 904-860-4536
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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