Provider Demographics
NPI:1093996977
Name:S&W CLINICAL RESEARCH
Entity Type:Organization
Organization Name:S&W CLINICAL RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:SERFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-717-1919
Mailing Address - Street 1:2510 E OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1601
Mailing Address - Country:US
Mailing Address - Phone:954-717-1919
Mailing Address - Fax:954-717-2528
Practice Address - Street 1:2510 E OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1601
Practice Address - Country:US
Practice Address - Phone:954-717-1919
Practice Address - Fax:954-717-2528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 2436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD27318Medicare UPIN
FL72735Medicare PIN