Individual provider · Type 1 NPI

Philip Blackburn Irwin, P. A.

Surgical Physician Assistant · Gainesville, FL

NPI number 1760441356 Active

Practice location

1601 SW Archer Rd, #112
Gainesville, FL 32608-1135

Call (352) 376-1611 Map

Mailing address

353 NW Eestaulkee Ave, P. O. Box 678
Micanopy, FL 32667-4068

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA3387 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1760441356

Philip Blackburn Irwin, P. A.'s National Provider Identifier is 1760441356, issued on Mar 21, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gainesville, FL. The record was last updated on Jul 8, 2007.