Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME110279 | FL |
N | 207PP0204X | Pediatric Emergency Physician | ME110279 | FL |
NPI | 1497964126 |
---|---|
Provider Name | Alison Jean Murphy |
First Address | Jacksonville, FL 32207-8210 |
Second Address | Jacksonville, FL 32207-8210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 03/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003111464A | (05) | GA |
003736900 | (05) | FL |
14EU8 | BCBS (01) | FL |