| Organization Name: | PHILLIP W DEVOE MD PA |
| NPI Number: | 1003033465 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILLIP W DEVOE (OWNER) |
| Mailing Address: | 1515 Airport Blvd Melbourne |
| State: | FL US |
| Postal Code: | 329012946 |
| Phone Number: | 3219512709 |
| Fax Number: | 3219522829 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | ME0027668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |