Provider Demographics
NPI:1437267358
Name:G MICHAEL SWOR M D P A
Entity Type:Organization
Organization Name:G MICHAEL SWOR M D P A
Other - Org Name:SWOR WOMENS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:G
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SWOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-330-8885
Mailing Address - Street 1:1617 SOUTH TUTTLE AVENUE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-330-8885
Mailing Address - Fax:941-906-8774
Practice Address - Street 1:1617 S TUTTLE AVENUE
Practice Address - Street 2:SUITE 1A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-330-8885
Practice Address - Fax:941-906-8774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0040974207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
58482OtherBCBS
D86105Medicare UPIN
58482BMedicare ID - Type Unspecified