Provider Demographics
NPI:1407823073
Name:COLLECTOR, MURRAY N (DC)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:N
Last Name:COLLECTOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 38TH AVE N
Mailing Address - Street 2:SUITE A
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-1542
Mailing Address - Country:US
Mailing Address - Phone:727-347-1556
Mailing Address - Fax:727-347-1809
Practice Address - Street 1:6701 38TH AVE N
Practice Address - Street 2:SUITE A
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1542
Practice Address - Country:US
Practice Address - Phone:727-347-1556
Practice Address - Fax:727-347-1809
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380079200Medicaid
FL70681Medicare ID - Type Unspecified
FL380079200Medicaid