Provider Demographics
NPI:1700990512
Name:PHILLIPS, FLOYD LEIGH III (MD)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:LEIGH
Last Name:PHILLIPS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2855 N UNIVERSITY DR STE 400
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-1408
Mailing Address - Country:US
Mailing Address - Phone:954-344-4344
Mailing Address - Fax:954-344-3781
Practice Address - Street 1:2855 N UNIVERSITY DR STE 400
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1408
Practice Address - Country:US
Practice Address - Phone:954-344-4344
Practice Address - Fax:954-344-3781
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0058293208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE61763Medicare UPIN