Provider Demographics
NPI:1447278197
Name:MURPHREE, BARBARA (PAC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MURPHREE
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 NW 114TH LOOP
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-1325
Mailing Address - Country:US
Mailing Address - Phone:352-867-8980
Mailing Address - Fax:352-867-8980
Practice Address - Street 1:17805 N US HIGHWAY 301
Practice Address - Street 2:
Practice Address - City:CITRA
Practice Address - State:FL
Practice Address - Zip Code:32113-2459
Practice Address - Country:US
Practice Address - Phone:352-595-7777
Practice Address - Fax:352-595-4047
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA2390363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S59746Medicare UPIN