Provider Demographics
NPI:1316345978
Name:SWEENEY, MATTHEW (DC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4673
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32793-4673
Mailing Address - Country:US
Mailing Address - Phone:407-616-4002
Mailing Address - Fax:
Practice Address - Street 1:4750 E MOODY BLVD
Practice Address - Street 2:STE 103
Practice Address - City:BUNNELL
Practice Address - State:FL
Practice Address - Zip Code:32110-7710
Practice Address - Country:US
Practice Address - Phone:407-616-4002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11378111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner