Provider Demographics
NPI:1679656656
Name:SUROWITZ, RONALD Z (DO)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:Z
Last Name:SUROWITZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1094 MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7021
Mailing Address - Country:US
Mailing Address - Phone:561-622-6111
Mailing Address - Fax:855-215-9930
Practice Address - Street 1:1094 MILITARY TRL
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7021
Practice Address - Country:US
Practice Address - Phone:561-622-6111
Practice Address - Fax:877-553-0191
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0003205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008416000Medicaid
FL82529OtherBCBS # DR. SUROWTIZ
FL080114270OtherRAILROAD MCR DR. SUROWITZ
FL82529TMedicare PIN
FL080114270OtherRAILROAD MCR DR. SUROWITZ