Murray, Thomas Richard
Murray, Thomas Richard is an sole proprietor health care provider with primary practice located at 5011 Gate Parkway Bldg 100 Ste 100, Jacksonville FL 32256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Murray, Thomas Richard can be contacted via phone (904) 512-7239.Contact Information
Primary practice address
5011 Gate Parkway Bldg 100 Ste 100
Jacksonville FL 32256
Phone: (904) 512-7239
Fax: (866) 380-0827
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME0060908 | Florida |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ME0060908 | Florida |
Profile Details
NPI number | 1295750800 |
---|---|
LBN Legal business name | Murray, Thomas Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 13th, 2006 |
Last updated | May 23rd, 2023 - about last year |
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 | 1295750800 | NPPES |
Florida | Other | 14064 | BLUE CROSS |
Florida | MEDICAID | 058114300 | BLUE CROSS |
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