Provider Demographics
NPI:1497810493
Name:MURCHLAND, MICHAEL ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROBERT
Last Name:MURCHLAND
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 1:3951 S NOVA RD
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-9270
Mailing Address - Country:US
Mailing Address - Phone:386-256-1444
Mailing Address - Fax:321-400-1118
Practice Address - Street 1:3951 S NOVA RD
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-9270
Practice Address - Country:US
Practice Address - Phone:386-256-1444
Practice Address - Fax:321-400-1118
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33875207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3327238OtherUNITED HEALTHCARE
OH9058679OtherCIGNA
FL102085800Medicaid
OH9624134OtherAETNA
OH000000704898OtherANTHEM BC/BS