MEDICARE: DR. DANIEL ROBERT SPURRIER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME64663	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23345	OTHER	FL	BLUE CROSS BLUE SHIELD OF FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164489605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ROBERT SPURRIER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 669
Second Line	:
City	:	FRUITLAND PARK
State	:	FL
Zip	:	34731
Country	:	US
Telephone Number	:	352-391-9401
Fax Number	:	352-391-9405

Provider Business Practice Location Address
First Line	:	1400 N US HIGHWAY 441
Second Line	:	SUITE 538
City	:	THE VILLAGES
State	:	FL
Zip	:	32159-8975
Country	:	US
Telephone Number	:	352-391-9401
Fax Number	:	352-391-9405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	12/09/2011

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