Provider Demographics
NPI:1326089350
Name:MURPHY, TANYA K (MD)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:K
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:K
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 917770
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 6TH ST S
Practice Address - Street 2:MDC15
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4817
Practice Address - Country:US
Practice Address - Phone:727-767-4150
Practice Address - Fax:727-767-8532
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME587242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL23809OtherBLUE CROSS BLUE SHIELD
FL375319100Medicaid
23809ZMedicare UPIN
FL375319100Medicaid