Healthcare Provider Details

I. General information

NPI: 1770518524
Provider Name (Legal Business Name): SIDNEY D SWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 06/10/2020
Certification Date: 06/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SE OCEAN BLVD SUITE100
STUART FL
34996-3332
US

IV. Provider business mailing address

1094 MILITARY TRL
JUPITER FL
33458-7021
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-2115
  • Fax: 772-223-2887
Mailing address:
  • Phone: 561-622-6111
  • Fax: 855-215-9930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME0063460
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: