Provider Demographics
NPI:1669967675
Name:SWAIN, ROBIN D
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:D
Last Name:SWAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20131 SW MARINE BLVD
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34431-3527
Mailing Address - Country:US
Mailing Address - Phone:770-815-9180
Mailing Address - Fax:
Practice Address - Street 1:13795 SW 36TH AVENUE RD STE 1
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-6104
Practice Address - Country:US
Practice Address - Phone:352-533-2371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator