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NPI Code Detail

MEDICARE: MATTHEW RYAN MURPHY

MEDICARE: MATTHEW RYAN MURPHY
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11015541FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629740394
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW RYAN MURPHY
Provider Business Mailing Address
First Line : 7901 4TH ST N STE 13740
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33702-4305
Country : US
Telephone Number : 352-234-8815
Fax Number :
Provider Business Practice Location Address
First Line : 100 E PINE ST STE 110
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2759
Country : US
Telephone Number : 352-234-8815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2021
Last Update Date : 11/22/2024

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Directions to “ MATTHEW RYAN MURPHY ” Practice Location

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