Healthcare Provider Details

I. General information

NPI: 1457426678
Provider Name (Legal Business Name): MURPHY'S UPPER KEYS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 10/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 OCEAN BAY DR
KEY LARGO FL
33037-2445
US

IV. Provider business mailing address

130 OCEAN BAY DR
KEY LARGO FL
33037-2445
US

V. Phone/Fax

Practice location:
  • Phone: 305-451-5141
  • Fax: 305-489-0879
Mailing address:
  • Phone: 305-451-5141
  • Fax: 305-489-0879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MS. PAT MURPHY
Title or Position: PRESIDENT
Credential: RN, BSN, MS
Phone: 305-451-5141