Provider Demographics
NPI:1780944991
Name:MURRAY OCULAR ONCOLOGY & RETINA INC
Entity type:Organization
Organization Name:MURRAY OCULAR ONCOLOGY & RETINA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:G
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-487-7470
Mailing Address - Street 1:6705 S RED RD
Mailing Address - Street 2:SUITE 412
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3622
Mailing Address - Country:US
Mailing Address - Phone:305-487-7470
Mailing Address - Fax:786-567-4380
Practice Address - Street 1:6705 S RED RD
Practice Address - Street 2:SUITE 412
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3622
Practice Address - Country:US
Practice Address - Phone:305-487-7470
Practice Address - Fax:786-567-4380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054418300Medicaid
FL054418300Medicaid