Provider Demographics
NPI:1770518524
Name:SWARTZ, SIDNEY D (MD)
Entity type:Individual
Prefix:
First Name:SIDNEY
Middle Name:D
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1094 MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7021
Mailing Address - Country:US
Mailing Address - Phone:561-622-6111
Mailing Address - Fax:855-215-9930
Practice Address - Street 1:2100 SE OCEAN BLVD
Practice Address - Street 2:SUITE100
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3332
Practice Address - Country:US
Practice Address - Phone:772-223-2115
Practice Address - Fax:772-223-2887
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0063460207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL18860OtherBCBS OF FLORIDA
FL18860VOtherMEDICARE - PAIN CLINIC 08
FL377121100Medicaid
FL377121100Medicaid
FL18860OtherBCBS OF FLORIDA
FL18860VOtherMEDICARE - PAIN CLINIC 08
FL18860UMedicare PIN