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

Samantha Dawn Surace, FAMILYNURSEPRACTIT

Individual provider Nurse Practitioner · NPI 1518234111

Samantha Dawn Surace, FAMILYNURSEPRACTIT is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2016, 10 years ago. Practices with Ies Florida PLLC, a 44-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
10
Licensed in
FL, NY
In the registry since
2011
Specialties on file
4
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Practice location Address checks out

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone: (239) 343-1614
Fax: (239) 343-3695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9820 Hutchinson Park Drive, Jacksonville, FL 32225 — (904) 450-6740
  • 21 Louise Dr, West Nyack, NY 10994-1911 — (845) 269-5740

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11007304 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11007304 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 468023-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F341222-1 (NY)

Record details

NPI number1518234111
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMILYNURSEPRACTIT
Sole proprietorYes
NPI enumeratedNovember 27, 2011
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ies Florida Pllc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Myers