Active NPI
Ralph Surace
- Driver
- Lake Placid, FL
National Provider Identifier
1972821023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- S620737752410
- Practice address
- 108 Aleutian St NE
Lake Placid, FL 33852-3418 - Phone
- (863) 441-7295
- NPI assigned
- May 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | S620737752410 | FL | Primary |
Addresses
Primary practice location
108 Aleutian St NE
Lake Placid, FL 33852-3418
Mailing address
108 Aleutian St NE
Lake Placid, FL 33852-3418
Phone (863) 441-7295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S620737752410 | FL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1972821023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 ALEUTIAN ST NE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338523418",
"telephone_number": "863-441-7295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 ALEUTIAN ST NE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338523418",
"telephone_number": "863-441-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURACE",
"first_name": "RALPH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "S620737752410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.