Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME91139 | FL |
NPI | 1619925138 |
---|---|
Provider Name | Mark R Murphy |
First Address | West Palm Beach, FL 33401-3428 |
Second Address | West Palm Beach, FL 33401-3428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 13/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I21307 | (02) |