Healthcare Provider Details

I. General information

NPI: 1093996977
Provider Name (Legal Business Name): S&W CLINICAL RESEARCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 02/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 E OAKLAND PARK BLVD
FORT LAUDERDALE FL
33306-1601
US

IV. Provider business mailing address

2510 E OAKLAND PARK BLVD
FORT LAUDERDALE FL
33306-1601
US

V. Phone/Fax

Practice location:
  • Phone: 954-717-1919
  • Fax: 954-717-2528
Mailing address:
  • Phone: 954-717-1919
  • Fax: 954-717-2528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS 2436
License Number StateFL

VIII. Authorized Official

Name: ERIC S SERFER
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 954-717-1919