Individual
MR. JUSTIN DANIEL MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA
Contact information
Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9112530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104602500
—
FL
Enumeration date
08/25/2019
Last updated
01/10/2020
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