Provider Demographics
NPI:1821452897
Name:PHILIUS ALCIME, JUDITH (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:PHILIUS ALCIME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MOORINGS DR
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-8019
Mailing Address - Country:US
Mailing Address - Phone:954-816-9915
Mailing Address - Fax:561-202-6778
Practice Address - Street 1:111 MOORINGS DR
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-8019
Practice Address - Country:US
Practice Address - Phone:954-816-9915
Practice Address - Fax:561-202-6778
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME150993207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine