Provider Demographics
NPI:1831785781
Name:SANIMED, PA
Entity type:Organization
Organization Name:SANIMED, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:239-785-5340
Mailing Address - Street 1:1699 PERIWINKLE WAY
Mailing Address - Street 2:
Mailing Address - City:SANIBEL
Mailing Address - State:FL
Mailing Address - Zip Code:33957-4411
Mailing Address - Country:US
Mailing Address - Phone:239-395-2434
Mailing Address - Fax:239-395-2494
Practice Address - Street 1:15750 NEW HAMPSHIRE CT STE D
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4100
Practice Address - Country:US
Practice Address - Phone:239-395-2434
Practice Address - Fax:239-395-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-15
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty