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NPI Code Detail

MEDICARE: DAVID SWAN MS,CCC/SLP

MEDICARE: DAVID SWAN MS,CCC/SLP
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
1235Z00000XSpeech-Language PathologistSA16495FL

General Provider Information

NPI Number : 1902643646
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SWAN MS,CCC/SLP
Provider Business Mailing Address
First Line : 1310 SE 12TH TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-3611
Country : US
Telephone Number : 314-239-9717
Fax Number :
Provider Business Practice Location Address
First Line : 2674 WINKLER AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9361
Country : US
Telephone Number : 239-275-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2024
Last Update Date : 01/15/2025

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Directions to “ DAVID SWAN MS,CCC/SLP” Practice Location

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