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NPI Code Detail

MEDICARE: KRISTY L SWEIGART MSW

MEDICARE:   KRISTY L SWEIGART  MSW
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
11041C0700XClinical Social Worker12019FL

General Provider Information

NPI Number : 1487161402
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY L SWEIGART MSW
Provider Business Mailing Address
First Line : 1200 FLORAL SPRINGS BLVD UNIT 16310
Second Line :
City : PORT ORANGE
State : FL
Zip : 32129-6808
Country : US
Telephone Number : 717-201-1642
Fax Number :
Provider Business Practice Location Address
First Line : 140 S BEACH ST STE 310
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-4409
Country : US
Telephone Number : 717-201-1642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2017
Last Update Date : 12/30/2017

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Directions to “ KRISTY L SWEIGART MSW” Practice Location

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