Thomas, Derrell Murrell

Thomas, Derrell Murrell is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Emergency Medicine, Jacksonville FL 32209-6511. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thomas, Derrell Murrell can be contacted via phone (904) 244-4405.

Contact Information

Primary practice address
655 W 8Th St Ufjp Emergency Medicine Jacksonville FL 32209-6511
Phone: (904) 244-4405
Fax: (904) 244-4508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3361 Florida

Profile Details

NPI number 1912979535
LBN Legal business name Thomas, Derrell Murrell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 6th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912979535 NPPES
Florida MEDICAID 2910501-00

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