Provider Demographics
NPI:1144354028
Name:MURRAY, DOROTHY M (MD)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:
Other - Last Name:MC CARTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2501 NW 39TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4443
Mailing Address - Country:US
Mailing Address - Phone:561-866-0069
Mailing Address - Fax:561-998-4634
Practice Address - Street 1:2501 NW 39TH ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4443
Practice Address - Country:US
Practice Address - Phone:561-866-0069
Practice Address - Fax:561-998-4634
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME26563207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD86280Medicare UPIN
FL00078359Medicare ID - Type UnspecifiedINACTIVE