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Individual
HALLEGERE MURTHY
Active
Individual
HALLEGERE MURTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038014
FL
207QA0505X
Adult Medicine Physician
ME38014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038014
MEDICAL LICENSE
FL
Enumeration date
09/27/2007
Last updated
06/23/2016
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