Provider Demographics
NPI:1760064505
Name:MCMURRAY, ABBEY ELISABETH (PA)
Entity Type:Individual
Prefix:MISS
First Name:ABBEY
Middle Name:ELISABETH
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:850 SPRAGUE ST
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-5627
Mailing Address - Country:US
Mailing Address - Phone:615-812-3036
Mailing Address - Fax:
Practice Address - Street 1:1720 DUNLAWTON AVE STE 2
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-2916
Practice Address - Country:US
Practice Address - Phone:386-322-8310
Practice Address - Fax:386-322-8370
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9116272207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology