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Individual

MS. TIFFANY M MURRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
83 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Mailing address
83 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9109372
FL
363AS0400X
Surgical Physician Assistant
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020475300
FL
Enumeration date
10/19/2009
Last updated
01/10/2020
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