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Organization
PENEMARIE K MURPHY, INC
Active
Organization
PENEMARIE K MURPHY, INC
Active
Other names
Physical Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENEMARIE KALLAS MURPHY P.T. (PRESIDENT)
(904) 645-7400
Entity
Organization
Contact information
Practice address
425 N LEE ST, SUITE 102, JACKSONVILLE, FL 32204-1127
(904) 353-9008
(904) 353-3215
Mailing address
PO BOX 11677, JACKSONVILLE, FL 32239-1677
(904) 745-0302
(904) 745-0750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102330
AVMED
FL
01
—
5490100
AETNA
FL
05
—
880295500
—
FL
01
—
Y908Y
BCBS FL
FL
Enumeration date
11/13/2006
Last updated
08/17/2009
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