Healthcare Provider Details

I. General information

NPI: 1154467736
Provider Name (Legal Business Name): RONNIE E SUGGS DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 COLLEEN DR
BELLE ISLE FL
32809-6887
US

IV. Provider business mailing address

1609 COLLEEN DR
BELLE ISLE FL
32809-6887
US

V. Phone/Fax

Practice location:
  • Phone: 407-240-0002
  • Fax: 407-240-0088
Mailing address:
  • Phone: 407-240-0002
  • Fax: 407-240-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO2451
License Number StateFL

VIII. Authorized Official

Name: DR. RONNIE EUGENE SUGGS
Title or Position: PODIATRIST
Credential: DPM
Phone: 407-240-0002