Provider Demographics
NPI:1730150087
Name:MURRY, CARI A (PA)
Entity type:Individual
Prefix:MRS
First Name:CARI
Middle Name:A
Last Name:MURRY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:CARI
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:3618 LANTANA ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33462
Mailing Address - Country:US
Mailing Address - Phone:561-296-2220
Mailing Address - Fax:561-296-2221
Practice Address - Street 1:3618 LANTANA ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33462
Practice Address - Country:US
Practice Address - Phone:561-296-2220
Practice Address - Fax:561-296-2221
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9103862363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPA9103862OtherLICENSCE