Healthcare Provider Details

I. General information

NPI: 1003970088
Provider Name (Legal Business Name): MURPHY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 10/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3013 DEL PRADO BLVD S SUITE 8
CAPE CORAL FL
33904-7238
US

IV. Provider business mailing address

2169 LOCHMOOR CIR
N FORT MYERS FL
33903-4926
US

V. Phone/Fax

Practice location:
  • Phone: 239-542-9233
  • Fax: 239-542-7710
Mailing address:
  • Phone: 239-542-9233
  • Fax: 239-542-7710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberCH004625
License Number StateFL

VIII. Authorized Official

Name: MR. CHARLES J MURPHY
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 239-542-9233