Provider Demographics
NPI:1417402124
Name:MURPHY, JOHN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JAMES
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 SE OCEAN BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2400
Mailing Address - Country:US
Mailing Address - Phone:772-888-1000
Mailing Address - Fax:772-210-6705
Practice Address - Street 1:921 SE OCEAN BLVD STE 1
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2400
Practice Address - Country:US
Practice Address - Phone:772-888-1000
Practice Address - Fax:772-210-6705
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG614422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry