Provider Demographics
NPI:1295923860
Name:MURRAY, GWINN (MD)
Entity type:Individual
Prefix:DR
First Name:GWINN
Middle Name:
Last Name:MURRAY
Suffix:
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 1:1444 LEXINGTON GREEN LN
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-1015
Mailing Address - Country:US
Mailing Address - Phone:407-323-9099
Mailing Address - Fax:407-323-4565
Practice Address - Street 1:1444 LEXINGTON GREEN LN
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1015
Practice Address - Country:US
Practice Address - Phone:407-323-9099
Practice Address - Fax:407-323-4565
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33639208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine