Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CH2996 | FL |
NPI | 1174571301 |
---|---|
Provider Name | Dr. William J Murphy |
First Address | Jupiter, FL 33477-7220 |
Second Address | Jupiter, FL 33477-4112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 09/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
88302 | BCBS (01) | FL |
T55778 | (02) | FL |