MEDICARE: LESLIE SWIFT

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	363LF0000X	Family Nurse Practitioner	STILLPENDING	FL

General Provider Information

NPI Number	:	1760327969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE SWIFT

Provider Business Mailing Address
First Line	:	4621 PALMETTO PALM DR
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-8869
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4621 PALMETTO PALM DR
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-8869
Country	:	US
Telephone Number	:	706-304-2957
Fax Number	:

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

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “ LESLIE SWIFT ” Practice Location

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