Provider Demographics
NPI:1164566808
Name:SHERYL B. SPIELMAN, M.D. P.A.
Entity Type:Organization
Organization Name:SHERYL B. SPIELMAN, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:SPIELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-262-8882
Mailing Address - Street 1:3435 10TH ST N
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3815
Mailing Address - Country:US
Mailing Address - Phone:239-262-8882
Mailing Address - Fax:239-649-5051
Practice Address - Street 1:3435 10TH ST N
Practice Address - Street 2:SUITE 303
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3815
Practice Address - Country:US
Practice Address - Phone:239-262-8882
Practice Address - Fax:239-649-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00742702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42541Medicare PIN
FLF079592Medicare UPIN