Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | ME111089 | FL |
NPI | 1164650016 |
---|---|
Provider Name | Dr. Michael Swartzon |
First Address | Atlanta, GA 30384-0905 |
Second Address | Coral Gables, FL 33146-1174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 07/02/2022 |