Healthcare Provider Details

I. General information

NPI: 1346294253
Provider Name (Legal Business Name): JOHN WALTHER SCHWEIGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COLUMBIA DR SUITE A327
TAMPA FL
33606-3508
US

IV. Provider business mailing address

10711 LAKE ALICE COVE
ODESSA FL
33556
US

V. Phone/Fax

Practice location:
  • Phone: 813-844-4434
  • Fax: 813-844-8458
Mailing address:
  • Phone: 813-792-8554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberME65845
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME65845
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: