MEDICARE: DAVID L MCMURRAY CP

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	1744P3200X	Prosthetics Case Management	PRO33	FL

General Provider Information

NPI Number	:	1922178433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L MCMURRAY CP

Provider Business Mailing Address
First Line	:	4623 S GOLDENROD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-2024
Country	:	US
Telephone Number	:	407-383-3210
Fax Number	:	407-381-4724

Provider Business Practice Location Address
First Line	:	1111 S DIVISION AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32805-4715
Country	:	US
Telephone Number	:	407-843-8040
Fax Number	:	407-841-1280

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	07/08/2007

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