Healthcare Provider Details
I. General information
NPI: 1598172405
Provider Name (Legal Business Name): WARREN SWEE MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2014
Last Update Date: 08/10/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2580 METROCENTRE BLVD SUITE 3
WEST PALM BEACH FL
33407
US
IV. Provider business mailing address
2580 METROCENTRE BLVD SUITE 3
WEST PALM BEACH FL
33407
US
V. Phone/Fax
- Phone: 561-594-1840
- Fax: 800-906-3055
- Phone: 561-594-1840
- Fax: 800-906-3055
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WARREN
SWEE
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 561-594-1840