Individual
JOHN MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4555 EMERSON ST, SUITE 230, JACKSONVILLE, FL 32207-4966
(904) 633-0130
(904) 633-0131
Mailing address
PO BOX 44008, PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
0361086341
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
0361086341
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME 107954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130076A
—
GA
05
—
007624400
—
FL
05
—
0361086341
—
IL
01
—
149S8
BCBSFL
FL
01
—
7215166
BCBS
IL
Enumeration date
06/14/2006
Last updated
02/04/2013
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