Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9374748 | FL |
NPI | 1003310103 |
---|---|
Provider Name | Amber Swartz |
First Address | Orlando, FL 32886-3407 |
Second Address | Bradenton, FL 34211-4041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2018 |
Last Update Date | 11/11/2020 |