Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Surprenant

Individual provider Chiropractor · NPI 1669221180

Ethan Surprenant is a Chiropractor in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

7601 Dr Martin Luther King Jr St N Ste E
St Petersburg, FL 33702-5200
Phone: (727) 677-0001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 15026 (FL)

Record details

NPI number1669221180
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address7601 Dr Martin Luther King Jr St N Ste E, St Petersburg, FL 33702-5200

Other providers in St Petersburg