Provider Demographics
NPI:1376589697
Name:MURRAY, EMILIA E (MD)
Entity Type:Individual
Prefix:
First Name:EMILIA
Middle Name:E
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILIA
Other - Middle Name:ENID
Other - Last Name:MURRAY-SOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1172 GOODLETTE RD N
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5430
Mailing Address - Country:US
Mailing Address - Phone:239-213-0080
Mailing Address - Fax:239-213-0021
Practice Address - Street 1:1172 GOODLETTE RD N
Practice Address - Street 2:SUITE 202
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5430
Practice Address - Country:US
Practice Address - Phone:239-213-0080
Practice Address - Fax:239-213-0021
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90144207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8353Medicare ID - Type Unspecified
FLI01382Medicare UPIN