Provider Demographics
NPI:1669489191
Name:MURRAY, JANET PAIGE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:PAIGE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9985 PRITCHARD RD
Mailing Address - Street 2:WELLNESS CENTER
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-2894
Mailing Address - Country:US
Mailing Address - Phone:904-378-4652
Mailing Address - Fax:904-378-4811
Practice Address - Street 1:9985 PRITCHARD RD
Practice Address - Street 2:WELLNESS CENTER
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32219-2894
Practice Address - Country:US
Practice Address - Phone:904-378-4652
Practice Address - Fax:904-378-4811
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0108451207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL01L4OtherJOHN DEERE
ILP00196673OtherRAILROAD MEDICARE
ILK04302Medicare ID - Type Unspecified
IL085829OtherHEALTH ALLIANCE
ILG55954Medicare UPIN
IL7215059OtherBCBS PPO
IL472311OtherHEALTHLINK
IL0361092811Medicaid