Healthcare Provider Details

I. General information

NPI: 1992708739
Provider Name (Legal Business Name): SARAH R. SWIATEK PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 TAYLOR RD
PUNTA GORDA FL
33950-4722
US

IV. Provider business mailing address

88 WHITE MARSH LN
ROTONDA WEST FL
33947-2179
US

V. Phone/Fax

Practice location:
  • Phone: 941-637-8838
  • Fax:
Mailing address:
  • Phone: 941-637-8838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT9580
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS35937
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: