Provider Demographics
NPI:1457426678
Name:MURPHY'S UPPER KEYS, INC.
Entity Type:Organization
Organization Name:MURPHY'S UPPER KEYS, INC.
Other - Org Name:MURPHY HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MS
Authorized Official - Phone:305-451-5141
Mailing Address - Street 1:130 OCEAN BAY DR
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2445
Mailing Address - Country:US
Mailing Address - Phone:305-451-5141
Mailing Address - Fax:305-489-0879
Practice Address - Street 1:130 OCEAN BAY DR
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2445
Practice Address - Country:US
Practice Address - Phone:305-451-5141
Practice Address - Fax:305-489-0879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL680356396Medicaid
FL680356398Medicaid