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Individual

MRS. JACQUELINE L MURDOCCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
519 W 41ST ST, MIAMI BEACH, FL 33140-3509
(305) 672-2992
Mailing address
519 W 41ST ST, MIAMI BEACH, FL 33140-3509
(305) 672-2992

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 4827
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K3224
MEDICARE
FL
01
Z9698Z
MEDICARE
FL
Enumeration date
11/28/2007
Last updated
08/16/2010
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