Healthcare Provider Details

I. General information

NPI: 1033475603
Provider Name (Legal Business Name): ERIC ROBERT SWEARENGEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2012
Last Update Date: 07/23/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4710 COMMUNITY PLAZA SUITE 100
STERLING VA
20164-1826
US

IV. Provider business mailing address

10051 5TH ST N SUITE 200
ST PETERSBURG FL
33702-2211
US

V. Phone/Fax

Practice location:
  • Phone: 703-880-1403
  • Fax:
Mailing address:
  • Phone: 941-729-4400
  • Fax: 941-729-4424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101267406
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME124767
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: