Provider Demographics
NPI:1750393088
Name:MURR, MICHEL M (MD)
Entity type:Individual
Prefix:
First Name:MICHEL
Middle Name:M
Last Name:MURR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3000 MEDICAL PARK DR STE 490
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-6600
Mailing Address - Country:US
Mailing Address - Phone:813-971-2470
Mailing Address - Fax:813-971-2491
Practice Address - Street 1:3000 MEDICAL PARK DR STE 490
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-6600
Practice Address - Country:US
Practice Address - Phone:813-971-2470
Practice Address - Fax:813-971-2491
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2020-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME77830208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254251000Medicaid
FL43682OtherBLUE CROSS BLUE SHIELD
FL43682OtherBLUE CROSS BLUE SHIELD
FLE48737Medicare UPIN
020039229Medicare PIN