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
Phone: (321) 724-1172
Fax: (575) 472-4313
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609003797 | NPPES |
| Florida | MEDICAID | 015545000 |
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