Healthcare Provider Details

I. General information

NPI: 1972521151
Provider Name (Legal Business Name): JAMES M. SHWAYDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 03/02/2024
Certification Date: 03/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-9507
US

IV. Provider business mailing address

13413 ORINO ST
VENICE FL
34293-2743
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7942
  • Fax:
Mailing address:
  • Phone: 720-490-6940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number22230
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number134448
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: