Provider Demographics
NPI:1538271226
Name:MURPHY-BLOUNT, KATIA V (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KATIA
Middle Name:V
Last Name:MURPHY-BLOUNT
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1032 MAR WALT DR UNIT 230
Mailing Address - Street 2:NORTHWEST FLORIDA HEART INSTITUTE
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6661
Mailing Address - Country:US
Mailing Address - Phone:850-862-3194
Mailing Address - Fax:850-862-4423
Practice Address - Street 1:1032 MAR WALT DR UNIT 230
Practice Address - Street 2:NORTHWEST FLORIDA HEART INSTITUTE
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6661
Practice Address - Country:US
Practice Address - Phone:850-862-3194
Practice Address - Fax:850-862-4423
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-05-06
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Provider Licenses
StateLicense IDTaxonomies
FLPA9107952363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003123989AMedicaid
GA202I971943Medicare PIN