Provider Demographics
NPI:1033523667
Name:THOMAS MURO JR., D.M.D., P.A.
Entity Type:Organization
Organization Name:THOMAS MURO JR., D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-380-7000
Mailing Address - Street 1:13550 SW 120TH ST
Mailing Address - Street 2:SUITE 512
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7397
Mailing Address - Country:US
Mailing Address - Phone:305-380-7000
Mailing Address - Fax:786-227-5315
Practice Address - Street 1:13550 SW 120TH ST
Practice Address - Street 2:SUITE 512
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7397
Practice Address - Country:US
Practice Address - Phone:305-380-7000
Practice Address - Fax:786-227-5315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0013749122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL071029600Medicaid