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Deactivated NPI 1891987731 Deactivated / Inactive NPI Male Practitioner

Dr. Isaac Surujon , MD

Specialist • Surfside, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Isaac Surujon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 14, 2007
NPI Deactivation Date July 31, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Isaac Surujon, MD was a registered Specialist practicing in Surfside, FL. Throughout an active medical career spanning 13 years, Dr. Surujon provided care at the practice location at 8925 COLLINS AVE until profile deactivation on 2020-07-31.

Practice Location & Contact Primary Location

Practice Address

8925 Collins Ave
Suite 4a

Surfside, FL 331543530

Telephone 3058682118
Fax 3058657466

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Surfside, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Surfside, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1427281385

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2020

Record deactivated on July 31, 2020

NPI Profile Active August 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 16, 2007

Registered at 8925 COLLINS AVE, SUITE 4A, SURFSIDE, FL 331543530 (Tel: 3058682118)

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Updated Business Mailing Address August 16, 2007

Registered at 8925 COLLINS AVE, SUITE 4A, SURFSIDE, FL 331543530 (Tel: 3058682118)

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Provider Name / Credentials Updated August 16, 2007

Recorded as ISAAC SURUJON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2007

Specialist

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Initial NPI Registration & Enumeration August 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891987731
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2007
Last Update: August 16, 2007
Deactivation Date: July 31, 2020

Mailing Address

8925 Collins Ave, Suite 4a

Surfside, FL 331543530

Phone: 3058682118

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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