Provider Demographics
NPI:1619916921
Name:MURPHY, PAUL T (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:T
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 1:22974 OVERSEAS HWY
Mailing Address - Street 2:
Mailing Address - City:CUDJOE KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-4254
Mailing Address - Country:US
Mailing Address - Phone:305-745-7357
Mailing Address - Fax:305-745-7360
Practice Address - Street 1:1200 KENNEDY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4023
Practice Address - Country:US
Practice Address - Phone:305-295-5568
Practice Address - Fax:305-295-5570
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0071702207X00000X
FLME71702207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGOtherRAILROAD MEDICARE
FL32415OtherBLUE CROSS BLUE SHIELD
FL264662500Medicaid
FL32415ZMedicare ID - Type Unspecified
FL264662500Medicaid