Healthcare Provider Details

I. General information

NPI: 1881056885
Provider Name (Legal Business Name): DHARA ROSALIE MURRAY-FRANK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1573 W FAIRBANKS AVE STE 210
WINTER PARK FL
32789-4679
US

IV. Provider business mailing address

1573 W FAIRBANKS AVE STE 210
WINTER PARK FL
32789-4679
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-6729
  • Fax:
Mailing address:
  • Phone: 407-303-6729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2021-01160
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME148586
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: