Provider Demographics
NPI:1740016419
Name:SWIERKOWSKI, MICHAEL JOHN JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JOHN
Last Name:SWIERKOWSKI
Suffix:JR
Gender:
Credentials:PA-C
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Mailing Address - Street 1:1257 SW MARTIN HWY
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-3375
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-1020
Practice Address - Country:US
Practice Address - Phone:772-247-5109
Practice Address - Fax:855-618-2315
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2025-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant