MEDICARE: ROBERT D MURDOCH A.P.

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	208D00000X	General Practice Physician	649	FL

General Provider Information

NPI Number	:	1851411318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT D MURDOCH A.P.

Provider Business Mailing Address
First Line	:	1222 SE 47TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9661
Country	:	US
Telephone Number	:	239-540-1220
Fax Number	:

Provider Business Practice Location Address
First Line	:	1222 SE 47TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9661
Country	:	US
Telephone Number	:	239-540-1220
Fax Number	:

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	05/15/2014

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Directions to “ ROBERT D MURDOCH A.P.” Practice Location

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