Provider Demographics
NPI:1922178433
Name:MCMURRAY, DAVID L (CP)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:MCMURRAY
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4623 S GOLDENROD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-2024
Mailing Address - Country:US
Mailing Address - Phone:407-383-3210
Mailing Address - Fax:407-381-4724
Practice Address - Street 1:1111 S DIVISION AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-4715
Practice Address - Country:US
Practice Address - Phone:407-843-8040
Practice Address - Fax:407-841-1280
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPRO331744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management