MEDICARE: MISS KAITLYN MURPHY

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	183500000X	Pharmacist	PS52438	FL

General Provider Information

NPI Number	:	1871997262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KAITLYN MURPHY

Provider Business Mailing Address
First Line	:	2265 SW OLYMPIC CLUB TER
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-6044
Country	:	US
Telephone Number	:	772-215-5560
Fax Number	:

Provider Business Practice Location Address
First Line	:	2265 SW OLYMPIC CLUB TER
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-6044
Country	:	US
Telephone Number	:	772-215-5560
Fax Number	:

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

Provider Enumeration Date	:	10/15/2014
Last Update Date	:	10/15/2014

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Directions to “ MISS KAITLYN MURPHY ” Practice Location

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