Healthcare Provider Details

I. General information

NPI: 1770827586
Provider Name (Legal Business Name): CHRISTOPHER ROBERT MURPHY BA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2012
Last Update Date: 11/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 1ST ST UNIT C
INDIAN ROCKS BEACH FL
33785-2670
US

IV. Provider business mailing address

718 1ST ST UNIT C
INDIAN ROCKS BEACH FL
33785-2670
US

V. Phone/Fax

Practice location:
  • Phone: 727-638-0725
  • Fax: 727-547-6752
Mailing address:
  • Phone: 727-638-0725
  • Fax: 727-547-6752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: