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NPI Code Detail

MEDICARE: PENEMARIE K MURPHY INC

MEDICARE: PENEMARIE K MURPHY INC
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
1225100000XPhysical Therapist0005355FL

General Provider Information

NPI Number : 1730228743
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENEMARIE K MURPHY INC
Provider Business Mailing Address
First Line : PO BOX 11677
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32239-1677
Country : US
Telephone Number : 904-645-7400
Fax Number : 904-745-0750
Provider Business Practice Location Address
First Line : 7001 MERRILL RD STE 27
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32277-2600
Country : US
Telephone Number : 904-745-0302
Fax Number : 904-745-0750
Authorized Official
Title or Position : PRESIDENT
Name : MRS. PENEMARIE KALLAS MURPHY
Credential : P.T.
Telephone Number : 904-645-7400
Provider Enumeration Date : 02/06/2007
Last Update Date : 08/17/2009

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Directions to “PENEMARIE K MURPHY INC ” Practice Location

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