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General NPI Number Information
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NPI Number | 1033179015
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Entity Type | Individual
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Provider Name | STACEY R MURRAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 7800 SW 87TH AVE SUITE C320
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City | MIAMI
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State | FL
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Zip | 33173-3570
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Country | US
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Telephone | 305-598-8787
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Fax | 305-598-8680
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Provider Business Mailing Address
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Address Line | PO BOX 144655
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City | CORAL GABLES
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State | FL
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Zip | 33114-4655
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Country | US
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Telephone | 305-793-8296
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Fax | 305-598-8680
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0065824
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License Number State | FL
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