Basic Information
| Provider Information | |||||||||
| NPI: | 1639639768 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURPHY | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO, MBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 14TH ST SW | ||||||||
| Address2: | |||||||||
| City: | LARGO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337703199 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7275885704 | ||||||||
| FaxNumber: | 7275857205 | ||||||||
| Practice Location | |||||||||
| Address1: | 201 14TH ST SW | ||||||||
| Address2: | |||||||||
| City: | LARGO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337703199 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7275885704 | ||||||||
| FaxNumber: | 7275857205 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2019 | ||||||||
| LastUpdateDate: | 02/03/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207X00000X | OS18429 | FL | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.