Jack Phillips

NPI 1104666288 · on the registry since 2024

Practice

Address: 1202 Tech Blvd Ste 104
Tampa, FL 33619
Phone: (813) 438-6796
Organisation at this address: Zoeli Rx, Llc
Knr Therapy, Llc
At Home Infusion Services Llc
Life Focus Group Of Tampa Bay
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 105

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida