Provider Demographics
NPI:1659572519
Name:SWINSON CHIROPRACTIC & TOTAL HEALTH CENTER INC
Entity Type:Organization
Organization Name:SWINSON CHIROPRACTIC & TOTAL HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:SWINSON
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:352-840-0444
Mailing Address - Street 1:5481 SW 60TH ST UNIT 302
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5653
Mailing Address - Country:US
Mailing Address - Phone:352-840-0444
Mailing Address - Fax:352-873-4066
Practice Address - Street 1:5481 SW 60TH ST UNIT 302
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5653
Practice Address - Country:US
Practice Address - Phone:352-840-0444
Practice Address - Fax:352-873-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381599400Medicaid
FLE4283Medicare ID - Type Unspecified
FL381599400Medicaid