Healthcare Provider Details
I. General information
NPI: 1609986181
Provider Name (Legal Business Name): SWICFT MEDICAL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 12/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
625 9TH ST N # 201
NAPLES FL
34102-8132
US
IV. Provider business mailing address
625 9TH ST N # 201
NAPLES FL
34102-8132
US
V. Phone/Fax
- Phone: 239-261-2000
- Fax: 239-261-2266
- Phone: 239-261-2000
- Fax: 239-261-2266
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | ME86063 |
| License Number State | FL |
VIII. Authorized Official
Name:
JAMES
V
TALANO
Title or Position: OWNER
Credential: MD
Phone: 239-261-2000