Leathers Murmer, Andrea L

Leathers Murmer, Andrea L is an sole proprietor health care provider with primary practice located at 6100 Minton Rd Nw Ste 104 , Palm Bay FL 32907-1900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Leathers Murmer, Andrea L can be contacted via phone (321) 724-1172.

Contact Information

Primary practice address
6100 Minton Rd Nw Ste 104 Palm Bay FL 32907-1900
Fax: (575) 472-4313
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME124520 Florida

Profile Details

NPI number 1609003797
LBN Legal business name Leathers Murmer, Andrea L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2009
Last updated May 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609003797 NPPES
Florida MEDICAID 015545000

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