Healthcare Provider Details

I. General information

NPI: 1649252677
Provider Name (Legal Business Name): ALAN SWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 06/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13550 N KENDALL DR #160
MIAMI FL
33186-1514
US

IV. Provider business mailing address

13550 N KENDALL DR SUITE 160
MIAMI FL
33186-1654
US

V. Phone/Fax

Practice location:
  • Phone: 305-385-7304
  • Fax: 305-380-8477
Mailing address:
  • Phone: 305-385-7304
  • Fax: 305-380-8477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME35970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: