MEDICARE: SWIE H. THE MD PA

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	207RP1001X	Pulmonary Disease Physician	ME 3887	FL

General Provider Information

NPI Number	:	1316320781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWIE H. THE MD PA

Provider Business Mailing Address
First Line	:	5063 WOODSTONE CIR N
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-5821
Country	:	US
Telephone Number	:	561-432-4806
Fax Number	:	561-434-1697

Provider Business Practice Location Address
First Line	:	5063 WOODSTONE CIR N
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-5821
Country	:	US
Telephone Number	:	561-432-4806
Fax Number	:	561-434-1697

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SWIE H THE
Credential	:	M.D.
Telephone Number	:	561-432-4806

Provider Enumeration Date	:	07/03/2015
Last Update Date	:	07/03/2015

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