Provider Demographics
NPI:1366483307
Name:SWERDLOFF, MARC ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:ARTHUR
Last Name:SWERDLOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 W HILLSBORO BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-9423
Mailing Address - Country:US
Mailing Address - Phone:561-955-4600
Mailing Address - Fax:561-955-2531
Practice Address - Street 1:3313 W HILLSBORO BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-9423
Practice Address - Country:US
Practice Address - Phone:561-955-4600
Practice Address - Fax:561-955-2531
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME448432084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052929000Medicaid
D50696Medicare UPIN
FL052929000Medicaid