Healthcare Provider Details

I. General information

NPI: 1780944991
Provider Name (Legal Business Name): MURRAY OCULAR ONCOLOGY & RETINA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 02/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6705 S RED RD SUITE 412
SOUTH MIAMI FL
33143-3622
US

IV. Provider business mailing address

6705 S RED RD SUITE 412
SOUTH MIAMI FL
33143-3622
US

V. Phone/Fax

Practice location:
  • Phone: 305-487-7470
  • Fax: 786-567-4380
Mailing address:
  • Phone: 305-487-7470
  • Fax: 786-567-4380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY G MURRAY
Title or Position: PRESIDENT/PHYSICIAN
Credential: M.D.
Phone: 305-487-7470