Healthcare Provider Details

I. General information

NPI: 1023468709
Provider Name (Legal Business Name): RYAN PAUL MURPHY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 GULF BREEZE PKWY STE 202
GULF BREEZE FL
32561-7803
US

IV. Provider business mailing address

1118 GULF BREEZE PKWY STE 202
GULF BREEZE FL
32561-7803
US

V. Phone/Fax

Practice location:
  • Phone: 850-432-6851
  • Fax: 850-438-6821
Mailing address:
  • Phone: 850-432-6851
  • Fax: 850-438-6821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberME155015
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: