Provider Demographics
NPI:1316237894
Name:MURPHY MEDICAL CENTER INC.
Entity type:Organization
Organization Name:MURPHY MEDICAL CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUTEH
Authorized Official - Middle Name:
Authorized Official - Last Name:EGUE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-374-0104
Mailing Address - Street 1:3750 GUNN HWY
Mailing Address - Street 2:SUITE 308
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-8905
Mailing Address - Country:US
Mailing Address - Phone:813-374-0104
Mailing Address - Fax:813-374-0107
Practice Address - Street 1:3750 GUNN HWY
Practice Address - Street 2:SUITE 308
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-8905
Practice Address - Country:US
Practice Address - Phone:813-374-0104
Practice Address - Fax:813-374-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8578261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service