Provider Demographics
NPI:1922078237
Name:MURRAY, ROBERT L (CRNA)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:MURRAY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 SPANISH MAIN DR
Mailing Address - Street 2:
Mailing Address - City:CUDJOE KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-4302
Mailing Address - Country:US
Mailing Address - Phone:305-924-0984
Mailing Address - Fax:305-924-0984
Practice Address - Street 1:248 SPANISH MAIN DR
Practice Address - Street 2:
Practice Address - City:CUDJOE KEY
Practice Address - State:FL
Practice Address - Zip Code:33042-4302
Practice Address - Country:US
Practice Address - Phone:305-924-0984
Practice Address - Fax:305-924-0984
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9169163367500000X
TX719938367500000X
OH08332367500000X
NC71472367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL307091300Medicaid
FL307091300Medicaid
FLG3796WMedicare PIN