Search › Florida › 111N00000X
Ethan Surprenant
NPI 1669221180 · on the registry since 2024
Practice
- Address
- 7601 Dr Martin Luther King Jr St N Ste E
St Petersburg, FL 33702 - Phone
- (727) 677-0001
- Organisation at this address
- Prathna Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida