MEDICARE: DR. JANET PAIGE MURRAY MD

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	207Q00000X	Family Medicine Physician	ME0108451	FL

General Provider Information

NPI Number	:	1669489191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET PAIGE MURRAY MD

Provider Business Mailing Address
First Line	:	9985 PRITCHARD RD
Second Line	:	WELLNESS CENTER
City	:	JACKSONVILLE
State	:	FL
Zip	:	32219-2894
Country	:	US
Telephone Number	:	904-378-4652
Fax Number	:	904-378-4811

Provider Business Practice Location Address
First Line	:	9985 PRITCHARD RD
Second Line	:	WELLNESS CENTER
City	:	JACKSONVILLE
State	:	FL
Zip	:	32219-2894
Country	:	US
Telephone Number	:	904-378-4652
Fax Number	:	904-378-4811

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/03/2016

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