Individual
JOSEPH RONALD SURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
154 CUNNINGHAM LN, BIG PINE KEY, FL 33043-4837
(231) 557-5861
Mailing address
154 CUNNINGHAM LN, BIG PINE KEY, FL 33043-4837
(231) 557-5861
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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