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ETHAN SURPRENANT
NPI 1669221180
Chiropractor in St Petersburg, FL

Active since May 16, 2024
7601 DR MARTIN LUTHER KING JR ST N STE E, ST PETERSBURG, FL 33702(727) 677-0001 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Surprenant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN SURPRENANT (NPI 1669221180) is an individual chiropractor in St Petersburg, Florida, licensed in Florida (15026) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1669221180
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameETHAN SURPRENANT
Location Address7601 DR MARTIN LUTHER KING JR ST N STE ESt Petersburg, FL 33702-5200
Mailing Address7601 Dr Martin Luther King Jr St N Ste ESt Petersburg, FL 33702-5200 · (727) 677-0001
Phone(727) 677-0001
Sole ProprietorNo
Enumeration DateMay 16, 2024
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1669221180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 15026
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
7601 DR MARTIN LUTHER KING JR ST N STE E, St Petersburg, FL 33702
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERNITA K SANDS MD
Internal Medicine
7601 DR MARTIN LUTHER KING JR ST N STE E
ST PETERSBURG, FL 33702
Pinellas County (727) 527-6719

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Surprenant's NPI number?

The NPI number for Ethan Surprenant is 1669221180. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Ethan Surprenant located?

Ethan Surprenant practices at 7601 Dr Martin Luther King Jr St N Ste E, St Petersburg, FL 33702. The listed phone number is (727) 677-0001.

What is Ethan Surprenant's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ethan Surprenant was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.