Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | ME70995 | FL |
NPI | 1013903244 |
---|---|
Provider Name | Dr. Eugene A Murphy |
First Address | St. Petersburg, FL 33733-2868 |
Second Address | St Petersburg, FL 33705-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2005 |
Last Update Date | 28/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250268200 | (05) | FL |
G28349 | (02) | FL |