Provider Demographics
NPI:1215996327
Name:FEE, CHERYL LYNNE (MD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:LYNNE
Last Name:FEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHERYL
Other - Middle Name:LYNNE
Other - Last Name:SPURLOCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4202 N PONY DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:34465-4438
Mailing Address - Country:US
Mailing Address - Phone:352-746-6076
Mailing Address - Fax:352-527-3458
Practice Address - Street 1:6201 N SUNCOAST BLVD
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428-6712
Practice Address - Country:US
Practice Address - Phone:352-795-8380
Practice Address - Fax:352-795-9041
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME54232207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12471OtherBCBS
E90678Medicare UPIN
FL12471ZMedicare ID - Type Unspecified
FL12471UMedicare ID - Type Unspecified