MEDICARE: SWIFTCARE MEDICAL INC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1316293558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWIFTCARE MEDICAL INC

Provider Business Mailing Address
First Line	:	1510 BAY RD
Second Line	:	# 601
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3307
Country	:	US
Telephone Number	:	949-232-9753
Fax Number	:	877-793-0197

Provider Business Practice Location Address
First Line	:	1510 BAY RD
Second Line	:	# 601
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3307
Country	:	US
Telephone Number	:	949-232-9753
Fax Number	:	877-793-0197

Authorized Official
Title or Position	:	OWNER
Name	:	KAVEH KARANDISH
Credential	:	MD
Telephone Number	:	949-232-9753

Provider Enumeration Date	:	07/25/2012
Last Update Date	:	07/25/2012

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