Healthcare Provider Details

I. General information

NPI: 1922589183
Provider Name (Legal Business Name): STEVEN R SWEAT, DC, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 04/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6155 26TH ST W
BRADENTON FL
34207-4404
US

IV. Provider business mailing address

6155 26TH ST W
BRADENTON FL
34207-4404
US

V. Phone/Fax

Practice location:
  • Phone: 941-753-1747
  • Fax: 941-756-8744
Mailing address:
  • Phone: 941-753-1747
  • Fax: 941-756-8744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN RUDOLPH SWEAT
Title or Position: DIRECTOR
Credential: D.C.
Phone: 941-753-1747