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Individual

MS. CHERYL A. SPRAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2100 SE OCEAN BLVD, SUITE 100, STUART, FL 34996-3332
(772) 223-2115
(772) 337-9034
Mailing address
1150 SW GOODMAN AVE, PORT ST LUCIE, FL 34953-1433
(937) 360-8152
(772) 337-9034

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002263
OH
363A00000X
Physician Assistant
Primary
PA9105543
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y04YJ
BCBS OF FLORIDA
FL
Enumeration date
08/22/2007
Last updated
08/23/2011
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