Individual
MRS. INGRID RAFAELA MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1050 W CARROLL ST, KISSIMMEE, FL 34741-1268
(407) 518-0078
(407) 518-0094
Mailing address
14716 CAPOTE LN, ORLANDO, FL 32828-7306
(407) 256-2870
(407) 518-0094
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101723
FL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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