IndividualActive
Andell Phillip
NPI 1922563030 · Homemaker · Lake Mary, FL
Provider details
- NPI number
- 1922563030
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 166697 (FL)
Practice location
1540 International Pkwy Ste 2000
Lake Mary, FL 32746-5096
Phone: (352) 502-4923
Fax: (352) 504-0241
Mailing address
8810 Sw Highway 200 Unit 124
Ocala, FL 34481-7822
Registry dates
- Enumerated
- 2019-02-02
- Last updated
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.