Healthcare Provider Details

I. General information

NPI: 1710702626
Provider Name (Legal Business Name): DR. ARIC SWANCUTT DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5602 PGA BLVD STE 101
PALM BEACH GARDENS FL
33418-3829
US

IV. Provider business mailing address

72 IRONWOOD WAY N
PALM BEACH GARDENS FL
33418-3717
US

V. Phone/Fax

Practice location:
  • Phone: 561-627-6444
  • Fax: 561-627-3572
Mailing address:
  • Phone: 507-696-4042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ARIC JAMES SWANCUTT
Title or Position: OWNER
Credential: DPM
Phone: 507-696-4042