Provider Demographics
NPI:1164489605
Name:SPURRIER, DANIEL ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ROBERT
Last Name:SPURRIER
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:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34731
Mailing Address - Country:US
Mailing Address - Phone:352-391-9401
Mailing Address - Fax:352-391-9405
Practice Address - Street 1:1400 N US HIGHWAY 441
Practice Address - Street 2:SUITE 538
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8975
Practice Address - Country:US
Practice Address - Phone:352-391-9401
Practice Address - Fax:352-391-9405
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64663174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL23345OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL23345OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FLD94222Medicare UPIN