Basic Information
Provider Information
NPI: 1225206501
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: HONOR
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2030 S PATRICK DR
Address2: STE 3
City: INDIAN HARBOUR BEACH
State: FL
PostalCode: 329374400
CountryCode: US
TelephoneNumber: 3217738155
FaxNumber: 3217738154
Practice Location
Address1: 2176 SARNO RD STE 102
Address2:  
City: MELBOURNE
State: FL
PostalCode: 329353086
CountryCode: US
TelephoneNumber: 3214219144
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/20/2008
LastUpdateDate: 02/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT-8537FLY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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