Provider Demographics
NPI:1194430280
Name:STEPHEN M SWIRSKY DO PA
Entity type:Organization
Organization Name:STEPHEN M SWIRSKY DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIRSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-975-4117
Mailing Address - Street 1:9835 LAKE WORTH RD STE 16-381
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2300
Mailing Address - Country:US
Mailing Address - Phone:954-933-5495
Mailing Address - Fax:954-947-3535
Practice Address - Street 1:6853 SW 18TH ST STE M-111
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7056
Practice Address - Country:US
Practice Address - Phone:954-933-5495
Practice Address - Fax:954-947-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty