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Search › Florida › 311ZA0620X

Clive Phillips

NPI 1528616547 · on the registry since 2019 · sole proprietor

Practice

Address
6755 Nw Monoco Ct
Port St Lucie, FL 34983
Phone
(772) 237-2496
Fax
(772) 237-2496
Organisation at this address
Joyous Ocassion Llc
Grace Senior Living, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-03

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