Provider Demographics
NPI:1134232390
Name:MURPHY, CHARLES J (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:2169 LOCHMOOR CIR
Mailing Address - Street 2:
Mailing Address - City:N FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-4926
Mailing Address - Country:US
Mailing Address - Phone:239-542-9233
Mailing Address - Fax:239-542-7710
Practice Address - Street 1:3013 DEL PRADO BLVD S STE 8
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7238
Practice Address - Country:US
Practice Address - Phone:239-542-9233
Practice Address - Fax:239-542-7710
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH4625111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology