Provider Demographics
NPI:1851600126
Name:DANIEL R. SPURRIER, MD, PA
Entity Type:Organization
Organization Name:DANIEL R. SPURRIER, MD, PA
Other - Org Name:CENTRAL FLORIDA NEUROSURGICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-391-9401
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34731-0669
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64663174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1524880OtherCIGNA
FL23345OtherBCBSFL
FL23345AMedicare PIN
FL1524880OtherCIGNA