Provider Demographics
NPI:1174543227
Name:MURPHY, VERNON EARL JR (MD)
Entity type:Individual
Prefix:
First Name:VERNON
Middle Name:EARL
Last Name:MURPHY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 WINKLER AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:863-471-9000
Mailing Address - Fax:863-402-5643
Practice Address - Street 1:2227 HIGHWAY 27S
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-4936
Practice Address - Country:US
Practice Address - Phone:863-202-8100
Practice Address - Fax:863-202-8099
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME52235207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHS472YOtherMEDICARE
FL019313300Medicaid
FL04894OtherBCBS
FL14V0HOtherBCBS
FLP00446211OtherRAILROAD MEDICARE
FL277366000Medicaid
FL277366000Medicaid