Healthcare Provider Details

I. General information

NPI: 1275653529
Provider Name (Legal Business Name): ANTHONY JOSEPH SCHWEIGER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 153 AVE
MADEIRA BEACH FL
33708
US

IV. Provider business mailing address

100 153 AVE
MADEIRA BEACH FL
33708
US

V. Phone/Fax

Practice location:
  • Phone: 727-391-8330
  • Fax: 727-209-1318
Mailing address:
  • Phone: 727-391-8330
  • Fax: 727-209-1318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN14943
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: