Provider Demographics
NPI:1649252677
Name:SWARTZ, ALAN (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13550 N KENDALL DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1654
Mailing Address - Country:US
Mailing Address - Phone:305-385-7304
Mailing Address - Fax:305-380-8477
Practice Address - Street 1:13550 N KENDALL DR
Practice Address - Street 2:#160
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1514
Practice Address - Country:US
Practice Address - Phone:305-385-7304
Practice Address - Fax:305-380-8477
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME35970208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066265800Medicaid
D63531Medicare UPIN