DR. KERRY ELIZABETH SPERO


Address: 8725 N Wickham Rd Ste 203, Melbourne, FL 32940-2240
Phone: 3214349563

DR. KERRY ELIZABETH SPERO (NPI# 1275826133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275826133
Entity Type Individual
Full Name DR. KERRY ELIZABETH SPERO
Credential D.O.
Practice Address 8725 N Wickham Rd Ste 203
Melbourne
FL 32940-2240
Mailing Address 3300 S Fiske Blvd
Rockledge
FL 32955-4306
Practice Telephone 3214349563
Practice Fax Number 3214349530
Mailing Telephone 3214349563
Enumeration Date 2011-05-25
Last Update Date 2020-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
OS14502 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 022534200 05
FL MEDICARE JD141Z 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
8725 N Wickham Rd Ste 203, Melbourne, FL 329402240 3214349563 3214349530

Office Location

Street Address 8725 N WICKHAM RD STE 203
City MELBOURNE
State FL
Zip Code 32940-2240

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1679081160 Brevard Oaks Center, LLC Skilled Nursing Facility 2355 Vidina Drive, Viera, FL 32940 2018-01-18
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548293442 Parvesh K. Bansal Internal Medicine 1400 Pine St, Suite A, Melbourne, FL 32901-3170 2006-07-07
1619507209 Necmo Pa Internal Medicine 250 N Wickham Rd, Melbourne, FL 32935-8625 2020-01-22
1225396302 Jonathan Torres-luna Internal Medicine 1223 Gateway Dr Ste 2g, Melbourne, FL 32901-2607 2012-04-26
1083900377 Vanessa Joann Ohleyer Internal Medicine 8745 N Wickham Rd, Melbourne, FL 32940 2011-06-24
1972819944 Anton Micael Dela Cruz Internal Medicine 1350 Hickory St, Melbourne, FL 32901-3224 2010-08-27
1932422433 Rodel Umlas Banal Internal Medicine 1314 Oak St, Melbourne, FL 32901-3111 2010-03-11
1407976517 Ashlee E. Moore Internal Medicine 1350 Hickory St, Melbourne, FL 32901 2007-03-30
1659392785 Zaki Elmaghraby Internal Medicine 1314 Oak St, Melbourne, FL 32901-3111 2006-07-22
1841243920 William Lemar Jackson Jr. Internal Medicine 1350 S Hickory St, Melbourne, FL 32901-3278 2006-05-18
1801859368 James P Shaffer Internal Medicine 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 2006-04-07
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32940

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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