Provider Demographics
NPI:1801133038
Name:CHRISTOPHER J SWARTZ DPM P A
Entity type:Organization
Organization Name:CHRISTOPHER J SWARTZ DPM P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-968-5044
Mailing Address - Street 1:1700 NE 105TH ST
Mailing Address - Street 2:# 513
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2145
Mailing Address - Country:US
Mailing Address - Phone:305-968-5044
Mailing Address - Fax:786-953-6677
Practice Address - Street 1:1700 NE 105TH ST
Practice Address - Street 2:# 513
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2145
Practice Address - Country:US
Practice Address - Phone:305-968-5044
Practice Address - Fax:786-953-6677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2820213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty