Provider Demographics
NPI:1639133366
Name:MURKO, AIDA M (MD, PA)
Entity Type:Individual
Prefix:DR
First Name:AIDA
Middle Name:M
Last Name:MURKO
Suffix:
Gender:F
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21301 POWERLINE RD STE 302
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2391
Mailing Address - Country:US
Mailing Address - Phone:561-852-2525
Mailing Address - Fax:561-852-9602
Practice Address - Street 1:21301 POWERLINE RD STE 302
Practice Address - Street 2:SUITE 302
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2391
Practice Address - Country:US
Practice Address - Phone:561-852-2525
Practice Address - Fax:561-852-9602
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME6947922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI08477Medicare UPIN
FLK9167Medicare ID - Type Unspecified