Provider Demographics
NPI:1275752172
Name:SWAFORD, SILVIA GONZALEZ (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:SILVIA
Middle Name:GONZALEZ
Last Name:SWAFORD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 MANDOLIN DR
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:FL
Mailing Address - Zip Code:33852-6001
Mailing Address - Country:US
Mailing Address - Phone:863-441-1080
Mailing Address - Fax:
Practice Address - Street 1:204 US 27 S
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:FL
Practice Address - Zip Code:33852-7900
Practice Address - Country:US
Practice Address - Phone:863-441-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS25818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist