Provider Demographics
NPI:1225001639
Name:MURPHY, SCOTT E (PA)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:8250 BRYAN DAIRY RD
Mailing Address - Street 2:STE 300
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1356
Mailing Address - Country:US
Mailing Address - Phone:727-544-2500
Mailing Address - Fax:727-541-6165
Practice Address - Street 1:5535 MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-7332
Practice Address - Country:US
Practice Address - Phone:813-574-4869
Practice Address - Fax:813-889-9724
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA0001771363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL291235000Medicaid
FLP57991Medicare UPIN
FL291235000Medicaid