MEDICARE: MURRAY DWECK MD

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	174400000X	Specialist	ME0071833	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1760414379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURRAY DWECK MD

Provider Business Mailing Address
First Line	:	2575 N COURTENAY PKWY
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-4126
Country	:	US
Telephone Number	:	321-454-7148
Fax Number	:	321-449-5015

Provider Business Practice Location Address
First Line	:	2555 JUDGE FRAN JAMIESON WAY
Second Line	:
City	:	VIERA
State	:	FL
Zip	:	32940-5998
Country	:	US
Telephone Number	:	321-639-5800
Fax Number	:	321-690-3276

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	12/12/2012

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Directions to “ MURRAY DWECK MD” Practice Location

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