Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0801X | Contact Lens Fitter | ||
Y | 207W00000X | Ophthalmologist | ME10832 | FL |
NPI | 1205155561 |
---|---|
Provider Name | Dr. Stanley D Swinton |
First Address | Lauderdale By The Sea, FL 33308-3511 |
Second Address | North Lauderdale, FL 33068-4694 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2010 |
Last Update Date | 05/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1205155561 | NPI (01) | FL |
ME10832 | MEDICAL LICENSE (01) | FL |