Healthcare Provider Details

I. General information

NPI: 1871925776
Provider Name (Legal Business Name): STEVEN SWEARINGEN D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 05/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7727 LAKE UNDERHILL ROAD FLORIDA HOSPITAL EAST
ORLANDO FL
32822
US

IV. Provider business mailing address

55 W CHURCH ST APT 2607
ORLANDO FL
32801-4931
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-8110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS12926
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: