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NPI Code Detail

MEDICARE: LILI SWEENEY PA-C

MEDICARE:   LILI  SWEENEY  PA-C
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
1363A00000XPhysician Assistant001016414NC
2363A00000XPhysician Assistant5715SC

General Provider Information

NPI Number : 1245817949
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILI SWEENEY PA-C
Provider Business Mailing Address
First Line : 3800 S OCEAN DR STE 209
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33019-2915
Country : US
Telephone Number : 800-226-8874
Fax Number : 877-366-4776
Provider Business Practice Location Address
First Line : 261 HERLONG AVE S
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-1159
Country : US
Telephone Number : 800-226-8874
Fax Number : 877-366-4776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2021
Last Update Date : 04/14/2026

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Directions to “ LILI SWEENEY PA-C” Practice Location

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