Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Eugene Phillips, PA-C

Individual provider Physician Assistant · NPI 1306140017

Jacob Eugene Phillips, PA-C is a Physician Assistant in Winter Park, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1801 Lee Rd Ste 304
Winter Park, FL 32789-2101
Phone: (321) 765-4373
Fax: (407) 542-0666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105852 (FL)

Record details

NPI number1306140017
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2011
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address1801 Lee Rd Ste 304, Winter Park, FL 32789-2101

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