Provider Demographics
NPI:1144550328
Name:MURDOCK, DEBORAH (DC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24700 US HIGHWAY 331 S STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-5502
Mailing Address - Country:US
Mailing Address - Phone:850-822-3468
Mailing Address - Fax:
Practice Address - Street 1:24700 US HIGHWAY 331 S STE 101
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-5502
Practice Address - Country:US
Practice Address - Phone:513-309-2301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14464111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2257OtherSTATE BOARD