Individual
DIRK W.R. SURINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 S HABANA AVE, SUITE 150, TAMPA, FL 33609-4181
(813) 350-0200
(813) 254-6514
Mailing address
508 S HABANA AVE, SUITE 150, TAMPA, FL 33609-4181
(813) 350-0200
(813) 254-6514
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0015588
FL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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