Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH0003789 | FL |
NPI | 1174690168 |
---|---|
Provider Name | Dr. Scott Edwin Swartz |
First Address | St James City, FL 33956-2026 |
Second Address | St James City, FL 33956-2026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 08/07/2007 |