Healthcare Provider Details

I. General information

NPI: 1427811470
Provider Name (Legal Business Name): JENNIFER MURDOCK MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 41ST ST STE 406
MIAMI BEACH FL
33140-3517
US

IV. Provider business mailing address

1691 MICHIGAN AVE STE 210
MIAMI BEACH FL
33139-2560
US

V. Phone/Fax

Practice location:
  • Phone: 305-315-5577
  • Fax: 832-324-6986
Mailing address:
  • Phone: 305-315-5577
  • Fax: 832-324-6986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER MURDOCK
Title or Position: OWNER/ MEMBER
Credential: MD
Phone: 305-315-5577