Provider Demographics
NPI:1174840904
Name:SWENTON, CHRISTINE ELAINE (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ELAINE
Last Name:SWENTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14575 MILLHOPPER RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-3147
Mailing Address - Country:US
Mailing Address - Phone:904-244-3817
Mailing Address - Fax:904-244-4077
Practice Address - Street 1:800 PRUDENTIAL DR
Practice Address - Street 2:ERG
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8202
Practice Address - Country:US
Practice Address - Phone:904-396-4369
Practice Address - Fax:904-346-0864
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN14659207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine