Healthcare Provider Details

I. General information

NPI: 1225272347
Provider Name (Legal Business Name): SHAUN FRANCIS SWINDLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 INDIAN RIVER BLVD
VERO BEACH FL
32960-5225
US

IV. Provider business mailing address

2929 SAWTOOTH OAK CT
WESTFIELD IN
46074-5856
US

V. Phone/Fax

Practice location:
  • Phone: 772-569-9500
  • Fax:
Mailing address:
  • Phone: 317-695-1379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number01070039A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME167098
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: