Healthcare Provider Details

I. General information

NPI: 1730150087
Provider Name (Legal Business Name): CARI A MURRY P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARI TAYLOR P.A.

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 07/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3618 LANTANA ROAD SUITE 201
LAKE WORTH FL
33462
US

IV. Provider business mailing address

3618 LANTANA ROAD SUITE 201
LAKE WORTH FL
33462
US

V. Phone/Fax

Practice location:
  • Phone: 561-296-2220
  • Fax: 561-296-2221
Mailing address:
  • Phone: 561-296-2220
  • Fax: 561-296-2221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9103862
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: