Provider Demographics
NPI:1316320781
Name:SWIE H. THE MD PA
Entity type:Organization
Organization Name:SWIE H. THE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SWIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:THE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-432-4806
Mailing Address - Street 1:5063 WOODSTONE CIR N
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-5821
Mailing Address - Country:US
Mailing Address - Phone:561-432-4806
Mailing Address - Fax:561-434-1697
Practice Address - Street 1:5063 WOODSTONE CIR N
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-5821
Practice Address - Country:US
Practice Address - Phone:561-432-4806
Practice Address - Fax:561-434-1697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-03
Last Update Date:2015-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 3887207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty