MEDICARE: MRS. REBECCA RUTH MURRAY APRN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	9389942	FL
2	363LF0000X	Family Nurse Practitioner	APRN000126	CT

General Provider Information

NPI Number	:	1457367385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA RUTH MURRAY APRN FNP

Provider Business Mailing Address
First Line	:	7009 DR PHILLIPS BLVD STE 150
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7228
Country	:	US
Telephone Number	:	407-363-9665
Fax Number	:	407-352-2668

Provider Business Practice Location Address
First Line	:	7009 DR PHILLIPS BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-5123
Country	:	US
Telephone Number	:	407-363-9665
Fax Number	:	407-352-2668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	03/07/2023

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