MEDICARE: ARIC J SWANCUTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	4489	FL
2	213EP0504X	Public Medicine Podiatrist	PO4489	FL

General Provider Information

NPI Number	:	1184252512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIC J SWANCUTT

Provider Business Mailing Address
First Line	:	72 IRONWOOD WAY N
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3717
Country	:	US
Telephone Number	:	507-696-4042
Fax Number	:

Provider Business Practice Location Address
First Line	:	5602 PGA BLVD STE 101
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3829
Country	:	US
Telephone Number	:	561-627-6444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2020
Last Update Date	:	11/25/2024

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Directions to “ ARIC J SWANCUTT ” Practice Location

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