Provider Demographics
NPI:1003970088
Name:MURPHY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:MURPHY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:J
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-542-9233
Mailing Address - Street 1:2169 LOCHMOOR CIR
Mailing Address - Street 2:
Mailing Address - City:N FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-4926
Mailing Address - Country:US
Mailing Address - Phone:239-542-9233
Mailing Address - Fax:239-542-7710
Practice Address - Street 1:3013 DEL PRADO BLVD S
Practice Address - Street 2:SUITE 8
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7238
Practice Address - Country:US
Practice Address - Phone:239-542-9233
Practice Address - Fax:239-542-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH004625261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH004625OtherLICENSE #
FLCH004625OtherLICENSE #
FL70774Medicare ID - Type Unspecified
FLCH004625OtherLICENSE #