MEDICARE: RICHARD DYLAN MURPHY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	04571	KY
2	207R00000X	Internal Medicine Physician	OS15941	FL
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1083077515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD DYLAN MURPHY D.O.

Provider Business Mailing Address
First Line	:	12557 NEW BRITTANY BLVD STE 3V
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3651
Country	:	US
Telephone Number	:	239-961-8870
Fax Number	:	833-428-9013

Provider Business Practice Location Address
First Line	:	12557 NEW BRITTANY BLVD STE 3V
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3651
Country	:	US
Telephone Number	:	239-961-8870
Fax Number	:	833-428-9013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	01/23/2026

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