Provider Demographics
NPI:1467721043
Name:MURRAY N COLLECTOR, DC, PA
Entity Type:Organization
Organization Name:MURRAY N COLLECTOR, DC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:N
Authorized Official - Last Name:COLLECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-347-1556
Mailing Address - Street 1:6701 38TH AVE N STE A
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-1500
Mailing Address - Country:US
Mailing Address - Phone:727-347-1556
Mailing Address - Fax:727-347-1809
Practice Address - Street 1:6701 38TH AVE N STE A
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1500
Practice Address - Country:US
Practice Address - Phone:727-347-1556
Practice Address - Fax:727-347-1809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380079200Medicaid
FL380079200Medicaid