Provider Demographics
NPI:1396297255
Name:MURRAY, JAMES FRANCIS III (OTRL)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FRANCIS
Last Name:MURRAY
Suffix:III
Gender:M
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 COASTAL BAY BLVD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7828
Mailing Address - Country:US
Mailing Address - Phone:561-596-0543
Mailing Address - Fax:
Practice Address - Street 1:1302 COASTAL BAY BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7828
Practice Address - Country:US
Practice Address - Phone:561-596-0543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT17922225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLEACHA013ZMedicaid