Provider Demographics
NPI:1366564205
Name:MURPHY, TODD LONGFORD (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:LONGFORD
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 S 18TH ST DEPT OF
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-1902
Mailing Address - Country:US
Mailing Address - Phone:802-434-3252
Mailing Address - Fax:
Practice Address - Street 1:1250 SOUTH 18TH ST
Practice Address - Street 2:ANESTHESIOLOGY
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034
Practice Address - Country:US
Practice Address - Phone:912-713-6495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101222111207L00000X
FLME 98188207L00000X
VT060-0003206390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program