Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS15501 | FL |
NPI | 1366974800 |
---|---|
Provider Name | Derek Christopher Murphy |
First Address | Orlando, FL 32832-7148 |
Second Address | Orlando, FL 32832-7148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2017 |
Last Update Date | 21/06/2021 |