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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
7001 MERRILL RD, SUITE 27, JACKSONVILLE, FL 32277-3005
(904) 744-0277
(904) 744-0263
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
225100000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102330
AVMED
FL
01
—
162113800
DEPT OF LABOR
FL
01
—
5490100
AETNA
FL
05
—
880295500
—
FL
01
—
Y909R
BCBS
FL
Enumeration date
11/02/2006
Last updated
08/17/2009
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