Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH4625 | FL |
NPI | 1134232390 |
---|---|
Provider Name | Dr. Charles J. Murphy |
First Address | N Fort Myers, FL 33903-4926 |
Second Address | Cape Coral, FL 33904-7238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |